DOUGLAS MAILLY (NPI# 1013950641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013950641 |
| Entity Type | Individual |
| Full Name | DOUGLAS MAILLY |
| Credential | MD |
| Practice Address |
Hudson Valley Hospital Center (emergency Department) 1980 Crompond Road Cortlandt Manor NY 10567 |
| Mailing Address |
Po Box 718 Livingston NJ 07039-0718 |
| Practice Telephone | 9147379000 |
| Mailing Telephone | 9737400607 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 17886 | NH | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 189936-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3108979 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 172 Kinsley St, Nashua, NH 030603648 | 6038823000 |
| Street Address |
HUDSON VALLEY HOSPITAL CENTER (EMERGENCY DEPARTMENT) 1980 CROMPOND ROAD |
| City | CORTLANDT MANOR |
| State | NY |
| Zip Code | 10567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902454101 | Daniel George Scott | Physical Therapist | 2050 E Main Street #4, Cortlandt Manor, NY 10567 | 2019-08-30 |
| 1073025482 | Chanelle Wilson | Nurse Practitioner | 249 Millington Rd, Cortlandt Manor, NY 10567 | 2017-10-26 |
| 1578961611 | Kristie Plocinski | Registered Nurse | 4 Barger St., Cortlandt Manor, NY 10567 | 2014-12-05 |
| 1215369301 | Pamela M. Turner | Licensed Practical Nurse | 1186 B Oregon Road, Cortlandt Manor, NY 10567 | 2013-07-31 |
| 1104191097 | Kim Kroeger-bushell | Registered Nurse | 7 Croton Avenue, Cortlandt Manor, NY 10567 | 2012-03-12 |
| 1013284447 | J. Murray Gruss | Dentist | 2117 Crompond Rd., Cortlandt Manor, NY 10567 | 2011-11-30 |
| 1477863793 | Lyerka Balenovic Drezga | Psychiatry & Neurology | 341 Furance Dock Rd, Unit 54, Cortlandt Manor, NY 10567 | 2010-10-20 |
| 1548599624 | Gloria Helen Jackman | Acupuncturist | 3 Sonoma Road, Cortlandt Acupuncture and Herbology, Cortlandt Manor, NY 10567 | 2009-12-18 |
| 1679807234 | Oliver Ogbonna | Social Worker | 8 Benjamin Lane, Cordtland Manor, NY 10567 | 2009-09-29 |
| 1801066030 | East Hudson Urology Group PC | Urology | 644 Stoneleigh Avenue, Suite 301, Carmel, NY 10567 | 2008-03-04 |
| Find all providers in zip 10567 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306889902 | Raymond Iannaccone | Emergency Medicine | Hudson Valley Hospital Center (er Dept), 1980 Crompond Road, Cortlandt Manor, NY 10567 | 2006-06-13 |
| 1760562409 | Ron Nutovits | Emergency Medicine | 1980 Crompond Rd, Hudson Valley Hospital, Cortlandt Manor, NY 10567-4144 | 2006-10-17 |
| 1962446583 | Barry Geller | Emergency Medicine | Hudson Valley Hospital Center, 1980 Crompond Road, Cortlandt Manor, NY 10567 | 2006-06-15 |
| 1952356347 | Emergency Medical Association of New York P C | Emergency Medicine | 1980 Crompond Road, Hudson Valley Hospital Center (emergency Department), Cortlandt Manor, NY 10567 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333466 | Rita Mello | Emergency Medicine | 10 Maplemoor Ln, White Plains, NY 10605-4704 | 2020-10-11 |
| 1891318754 | Mat Medical Associates, P.C. | Emergency Medicine | 565 Route 25a Ste 4, Miller Place, NY 11764-2663 | 2020-05-26 |
| 1508488040 | Madhok Medical Corporation | Emergency Medicine | 555 Madison Ave Fl 20, New York, NY 10022-3301 | 2020-05-07 |
| 1134749658 | Kenneth Yaboh | Emergency Medicine | 1000 Cherrywood Dr, Baldwin, NY 11510-5009 | 2020-04-24 |
| 1487273777 | Rosheen Teresa Mcelroy | Emergency Medicine | 70 Remsen St # 2ab, Brooklyn, NY 11201-3432 | 2020-04-16 |
| 1477180479 | Taj Medical Pllc | Emergency Medicine | 10925 111th St, South Ozone Park, NY 11420-1015 | 2020-03-27 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1346892155 | Jonathan Pezhmannia | Emergency Medicine | 2a Cortlandt St, New York, NY 10007-3104 | 2019-07-11 |
| 1659939700 | Richard Edward Smith Medicine PC | Emergency Medicine | 81 Miller Rd Ste 600, S Schodack, NY 12033-4042 | 2019-06-04 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| Find all providers with the same taxonomy | ||||
| City | CORTLANDT MANOR |
| Zip Code | 10567 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.