MS. MEENA AZIZI (NPI# 1063831832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063831832 |
| Entity Type | Individual |
| Full Name | MS. MEENA AZIZI |
| Credential | MD |
| Practice Address |
Stony Brook University Medical Ctr Hsc T-10 Room 020 Stony Brook NY 11794-8101 |
| Practice Telephone | 6314443005 |
| Practice Fax Number | 6314447534 |
| Mailing Telephone | 6314443005 |
| Mailing Fax Number | 6314447534 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
299141 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
299141 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
STONY BROOK UNIVERSITY MEDICAL CTR HSC T-10 ROOM 020 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508847302 | Margaret N Melendez | Nurse Practitioner | Stony Brook University Medical Ctr, Department of Medicine L16, Stony Brook, NY 11794-0001 | 2005-11-09 |
| 1447705736 | Xiaoyun Wen | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Department of Pathology, Level 2, Stony Brook, NY 11794-7025 | 2016-08-17 |
| 1619325545 | Dhruti Patel | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10, Room 020, Stony Brook, NY 11794-0001 | 2016-06-01 |
| 1699120147 | Jill Marie-faye Ludin | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10, Room 020, Stony Brook, NY 11794-8101 | 2016-05-03 |
| 1740644475 | Laura Andreski | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10, Room 020, Stony Brook, NY 11794-0001 | 2016-04-08 |
| 1093178170 | Michael Robert Bisogno | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Department of Orthopaedics, Hsc T-18, Stony Brook, NY 11794-8181 | 2016-04-05 |
| 1558723924 | Ben Joseph | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Department of Orthopedics, Hsc T-18, Stony Brook, NY 11794-8181 | 2016-03-24 |
| 1821477704 | Katherine Pan | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10, Room 020, Stony Brook, NY 11794-8101 | 2015-05-25 |
| 1992184303 | Sean Alyeshmerni | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10 Room 020, Stony Brook, NY 11794-8101 | 2015-05-19 |
| 1497133813 | Jisoo Park | Psychiatry & Neurology | Stony Brook University Medical Ctr, Department of Psychiatry Hsc T-10, Rm 020, Stony Brook, NY 11794-8101 | 2015-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
| 1275779688 | Jessica Jean Richter | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Hsc Level 10 Room 020, Stony Brook, NY 11794-8101 | 2009-01-06 |
| 1003012436 | Maged Sobhy Soliman | Psychiatry & Neurology | Child and Adolescent Psychiatry Outpatient Department, 169 Putnam Hall, Stony Brook, NY 11794 | 2007-06-22 |
| 1649697426 | Amanda Gorecki | Psychiatry & Neurology | Putnam Hall South Campus, Stony Brook, NY 11794-8790 | 2014-03-18 |
| 1174703359 | Peng Pang | Psychiatry & Neurology | 101 Nicolls Rd, Stony Brook, NY 11794-8101 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327611 | Adel Mostafavi, Md PC | Psychiatry & Neurology | 104 W 40th St Rm 400, New York, NY 10018-3692 | 2020-08-17 |
| 1023632015 | Child and Adult Clinical Psychiatry PC | Psychiatry & Neurology | 75 Prospect St Ste 110, Huntington, NY 11743-3320 | 2020-06-04 |
| 1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
| 1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
| 1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
| 1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
| 1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
| 1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1710389069 | John F. Erhart Md PC | Psychiatry & Neurology | 85 Summit Dr, Rochester, NY 14620-3129 | 2014-09-18 |
| Find all providers with the same taxonomy | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
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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.