Shaker Pediatrics Pc, NPI 1336156223
Pediatric Adolescent Medicine Physician in Latham, NY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1336156223
NPI Entity Type Organization
Provider Name Shaker Pediatrics Pc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 10 Century Hill Drive, Latham, NY, US
Provider Mailing Address 10 Century Hill Drive, Latham, NY, US, 12110
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Henry M Neilley
Official Position FIRST VICE PRESIDENT
Phone 518-783-5563

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

2080A0000X

Taxonomy Name Pediatric Adolescent Medicine Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

Description A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Business Address

Shaker Pediatrics Pc
10 Century Hill Drive

Latham, NY, US

Phone: 518-783-5563
Fax: 518-785-5708

Mailing Address

Shaker Pediatrics Pc
10 Century Hill Drive
Latham, NY, US
ZIP 12110
Phone: 518-783-5563
Fax: 518-785-5708

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
01762674 NY MEDICAID 05
26210 MVP MARYLA WARSZAWA-AMB 01
000401340001 BS SHEELA GRANEY MD 01
01260746 NY MEDICAID 05
26208 MVP WILLIAM A PETERSEN MD 01
000401387001 BS WILLIAM A PETERSEN MD 01
10002804 CDPHP WM A PETERSEN MD 01
26207 MVP HENRY NEILLEY MD 01
000401569001 BS HENRY NEILLEY MD 01
10001463 CDPHP HENRY NEILLEY MD 01
10044836 CDPHP DAVID SHERWOOD MD 01
964787 MVP SHEELA GRANEY MD 01
00392741 NY MEDICAID 05
349679 MVP DAVID SHERWOOD MD 01
10002139 CDPHP MARYLA WARSZAWA-AMB 01
10021167 CDPHP SHEELA GRANEY MD 01
00962767 NY MEDICAID 05
01332856 NY MEDICAID 05
02094695 NY MEDICAID 05
1007 CDPHP GROUP 01

Other Providers in NY, US

NPI Name Taxonomy Address

1760136907

MRS. OTR/L Kateri Virgilio

Individual

Occupational Therapist

245 E 84th St

New York, NY

1255524310

Bernedette P Minnella Md Pllc

Organization

Internal Medicine Physician

300 White Spruce Blvd

Suite 100

Rochester, NY

1801085667

Diego G Cahn-hidalgo Md Pllc

Organization

Internal Medicine Physician

300 White Spruce Blvd

Suite 100

Rochester, NY

1477873966

Catherine Tan Md Pllc

Organization

Internal Medicine Physician

300 White Spruce Blvd

Suite 100

Rochester, NY

1881629145

MD George Baker Plain

Individual

Internal Medicine Physician

300 White Spruce Blvd

Suite 100

Rochester, NY

1265097356

Brooke O'connor

Individual

Physician Assistant

1000 Montauk Hwy

West Islip, NY

1508886219

MD Catherine Chiu Tan

Individual

Internal Medicine Physician

300 White Spruce Blvd

Suite 100

Rochester, NY

1366550162

MD Bernedette P Minnella

Individual

Internal Medicine Physician

300 White Spruce Blvd

Suite 100

Rochester, NY

1093749285

DR. MD Diego Gerardo Cahn-hidalgo

Individual

Internal Medicine Physician

300 White Spruce Blvd

Suite 100

Rochester, NY

1144660408

DR. O.D.,M.S. Benjamin Menlah Arthur

Individual

Optometrist

629 Eastern Pkwy

Unit #m4 (202)

Brooklyn, NY

1871222836

MISS PA-C Lauren Rose Kelly

Individual

Physician Assistant

234 E 149th St

Bronx, NY

1043540255

MRS. LPN Pepper L Richardson

Individual

Licensed Practical Nurse

661 Oconnor Rd

Oswego, NY

1093910648

MR. LCSW David Sheinman-smith

Individual

Clinical Social Worker

39 W 14th St Ste 506

New York, NY

1245722578

Angela C. Turner Dougherty

Individual

Psychologist

358 Veterans Memorial Hwy Ste 12

Commack, NY

1376294322

MS. LCSW-R Chelsea C Chin

Individual

Clinical Social Worker

578 Henry St Apt 3

Brooklyn, NY

1952039703

It's A Girl Thing Counseling Amy Frisch Lcsw, Pllc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

5 College Ave

New Paltz, NY

1801934948

Amy Frisch

Individual

Clinical Social Worker

5 College Ave

New Paltz, NY

1700509841

PNP-PC Danielle Kocienda

Individual

Pediatric Nurse Practitioner

223 E 34th St

New York, NY

1851991483

Latchmi D. Harparsad

Individual

Speech-Language Pathologist

15050 14th Rd

Whitestone, NY

1336773225

Crysta Song

Individual

Speech-Language Pathologist

212 Garretson Ave

Staten Island, NY

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