PM PEDIATRICS OF CORONA (NPI# 1033308697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033308697 |
| Entity Type | Organization |
| Organization Name | PM PEDIATRICS OF CORONA |
| Practice Address |
10211 Roosevelt Ave Corona NY 11368-2331 |
| Practice Telephone | 7184585437 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |
| Authorized Official Name | PASCALINE ROMAIN (OFFICE/BILLING MGR) |
| Authorized Official Telephone | 5166775437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | NY | Emergency Medical Service Providers |
| Street Address |
10211 ROOSEVELT AVE |
| City | CORONA |
| State | NY |
| Zip Code | 11368-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376538553 | Cervantes B Pena | Pediatrics | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2005-09-14 |
| 1912487588 | E T Medical Pllc | Pediatrics | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2018-08-14 |
| 1821518978 | Lindsay Raveena Virdee | Registered Nurse | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2017-06-20 |
| 1942730395 | Sharon Fortgang | Registered Nurse | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2017-06-19 |
| 1174058200 | Yeh Ling Yiin Dillon | Pediatrics | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2017-04-26 |
| 1861886723 | Hector M. Florimon | Pediatrics | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2015-03-27 |
| 1437556370 | John B Halkias Physician PC | Clinic/Center | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2014-11-20 |
| 1417361122 | Maria C. Coe, Msrd,cdn,pc | Clinic/Center | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2014-06-20 |
| 1194151712 | Paul Edward Gonzalez | Pediatrics | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2013-09-16 |
| 1124453105 | Maria Gabriela Ponce Garcia | Internal Medicine | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2013-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723226 | Kaelee Bouleris | Emergency Medical Technician, Basic | 203 County Route 70, Stillwater, NY 12170-2000 | 2020-09-03 |
| 1245869981 | Weli Sanbul Aden I | Emergency Medical Technician, Basic | 214 E James St Apt 6, Syracuse, NY 13206-2565 | 2020-04-04 |
| 1932738762 | Yael Beer | Emergency Medical Technician, Basic | 6411 99th St Apt 107, Rego Park, NY 11374-2625 | 2020-04-03 |
| 1881223972 | Annanina Corsica | Emergency Medical Technician, Basic | 435 E 30th St, New York, NY 10016-8304 | 2020-04-02 |
| 1578191888 | John Eccleston | Emergency Medical Technician, Basic | 15 Duer Ln, Staten Island, NY 10301-3014 | 2020-03-31 |
| 1821633868 | Samantha Chang | Emergency Medical Technician, Basic | 10 Happy Acres Dr, Shirley, NY 11967-3015 | 2019-11-13 |
| 1477024909 | Justin Unislawski | Emergency Medical Technician, Basic | 4 Van Wyck St, Gloversville, NY 12078 | 2018-12-10 |
| 1356850820 | Gavin John Maclachlan | Emergency Medical Technician, Basic | 115 Downing Rd, De Witt, NY 13214-1547 | 2017-09-27 |
| 1912422304 | Alliyah Okhamvilaysack | Emergency Medical Technician, Basic | 3255 Route 39, Bliss, NY 14024-9730 | 2017-08-07 |
| 1205351731 | Serena Grainge | Emergency Medical Technician, Basic | 3677 River Rd, Youngstown, NY 14174-9700 | 2017-08-05 |
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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.