MR. QUINN EDWARD FUNN II (NPI# 1083256580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083256580 |
Entity Type | Individual |
Full Name | MR. QUINN EDWARD FUNN II |
Credential | B.A, M.A |
Practice Address |
83 E Main St Bay Shore NY 11706-8305 |
Mailing Address |
32 Wooded Way Calverton NY 11933-9706 |
Practice Telephone | 6318307810 |
Enumeration Date | 2019-10-16 |
Last Update Date | 2019-10-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
NY | Behavioral Health & Social Service Providers |
Street Address |
83 E MAIN ST |
City | BAY SHORE |
State | NY |
Zip Code | 11706-8305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184846818 | Jean Laroyce Bacon | Social Worker | 83 E Main St, Bay Shore, NY 11706-8305 | 2007-05-03 |
1891324562 | Courtney Kay Ocasio | Counselor | 83 E Main St, Bay Shore, NY 11706-8305 | 2020-04-05 |
1447893599 | Kyle Viola | Counselor | 83 E Main St, Bay Shore, NY 11706-8305 | 2019-10-22 |
1407416118 | Mary M Kenny Corron | Social Worker | 83 E Main St, Bay Shore, NY 11706-8305 | 2019-06-14 |
1417514191 | Deyanira Rivera | Counselor | 83 E Main St, Bay Shore, NY 11706-8305 | 2019-05-28 |
1669953758 | Brian R Coyle | Counselor | 83 E Main St, Bay Shore, NY 11706-8305 | 2018-08-27 |
1154802817 | Pamela Deborah Gallo | Counselor | 83 E Main St, Bay Shore, NY 11706-8305 | 2018-08-22 |
1841737350 | Amanda Ajello | Counselor | 83 E Main St, Bay Shore, NY 11706-8305 | 2017-01-22 |
1588974331 | Audrey Lorraine Malcolm | Social Worker | 83 E Main St, Bay Shore, NY 11706-8305 | 2010-10-14 |
1023349297 | Butterfly Lcsw PC | Social Worker | 83 E Main St, Bay Shore, NY 11706-8305 | 2010-01-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
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Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750928735 | Gregory Alexander, Ph.d. Psychologist, PC | Psychologist | 260 W Main St Ste 9, Bay Shore, NY 11706-8322 | 2019-12-09 |
1104913961 | Gregory Alexander | Psychologist | 260 West Main St., Suite #9, Bay Shore, NY 11706-8322 | 2006-10-05 |
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1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
1699384495 | Illumination Psychology Pllc | Psychologist | 88 Terry Rd Ste 106, Smithtown, NY 11787-3811 | 2020-07-28 |
1881212140 | Elizabeth Wilen-berg | Psychologist | 308 W 103rd St Apt 8d, New York, NY 10025-4463 | 2020-07-13 |
1396361747 | Jeanna Pagnotta | Psychologist | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | 2020-06-22 |
1376167544 | Amelio A D'onofrio | Psychologist | 58 E 79th St Fl 4f, New York, NY 10075-0221 | 2020-06-03 |
1114540648 | Alexandra Lerner | Psychologist | 10 Whitetail Dr, Ithaca, NY 14850-9458 | 2020-05-19 |
1386265882 | Abba Human Services Foundation, Inc | Psychologist | 10 Schriever Ln Ste B, New City, NY 10956-3314 | 2020-05-06 |
1750911160 | Julie Herman Hirschfeld | Psychologist | 575 West End Ave. Gr-a-3, New York, NY 10024-2711 | 2020-01-24 |
1588204093 | Rebecca Frances Reed | Psychologist | 1 City Pl Apt 610, White Plains, NY 10601-3334 | 2020-01-13 |
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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.