Kathleen A Wilk Van Essendelft (NPI# 1821134578, PAC ID# 4688746845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1821134578 |
| PAC ID by PECOS | 4688746845 |
| Professional Enrollment ID | I20080730000831 |
| Full Name | Kathleen A Wilk Van Essendelft |
| Address |
59520 Route 25a Miller Place NY 11764-2647 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 59520 Route 25a, Miller Place, NY 11764-2647 |
| Street Address |
59520 ROUTE 25A |
| City | MILLER PLACE |
| State | NY |
| Zip | 11764-2647 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Modesto | Optometry | 385 Route 25a 6, Miller Place, NY 11764 | |
| Dorothy A Quilty | Clinical Social Worker | 6 Griffen Ct, Miller Place, NY 11764-1431 | |
| Craig J Chamberlain | Chiropractic | 54 N Country Rd, Suite 4, Miller Place, NY 11764-1446 | |
| James V Masone | Chiropractic | 29 Miller Woods Dr, Masone Specific Chiropractic Center, Miller Place, NY 11764-1524 | |
| James Dominick Bruno | Neurology | 5 Alilah Ct, Miller Place, NY 11764-1902 | |
| Donald A Mccrea | Physical Therapy | 41 Echo Ave, Miller Place, NY 11764-2108 | |
| Jennifer J Elsholz | Chiropractic | 85 Echo Ave, Suite 4, Miller Place, NY 11764-2200 | |
| Thomas J Ianniello | Chiropractic | 93 Miller Place Rd, Miller Place, NY 11764-2406 | |
| Walter R Chomicki | Physical Therapy | Fam Physical Therapy of Miller Place PC | 275 Route 25a, Unit 45, Miller Place, NY 11764-2427 |
| Adam Ross August | Physical Therapy | Fam Physical Therapy of Miller Place PC | 275 Route 25a, Unit 45, Miller Place, NY 11764-2427 |
| Find all physicians in zip 11764 | |||
| City | MILLER PLACE |
| Zip Code | 11764 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MILLER PLACE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Kathleen A Wilk Van Essendelft.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.