MR. ANTHONY M DEDONATIS


Address: 420 E 76th St, New York, NY 10021-3396
Phone: 2124345301

MR. ANTHONY M DEDONATIS (NPI# 1093261398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093261398
Entity Type Individual
Full Name MR. ANTHONY M DEDONATIS
Other Name MR. ANTONY MICHAEL DEDONATIS
Credential PMHNP-BC, RN-BC
Practice Address 420 E 76th St
New York
NY 10021-3396
Practice Telephone 2124345301
Enumeration Date 2016-08-28
Last Update Date 2016-11-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
402061 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 420 E 76TH ST
City NEW YORK
State NY
Zip Code 10021-3396

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215911946 New York Gracie Square Hospital Inc Psychiatric Hospital 420 E 76th St, New York, NY 10021-3104 2005-12-06
1154928133 Michelle D Dagostino Nurse Practitioner 420 E 76th St, New York, NY 10021-3396 2020-10-03
1720609415 Andrea Leigh Mcdade Registered Nurse 420 E 76th St, New York, NY 10021-3396 2020-05-04
1467014340 Lorena N Conz Nurse Practitioner 420 E 76th St, New York, NY 10021-3396 2019-07-01
1811416985 Allison Moskowitz Social Worker 420 E 76th St, New York, NY 10021-3396 2017-09-11
1245682269 Kimberly Fiedler Gevint Social Worker 420 E 76th St, New York, NY 10021-3396 2016-07-02
1487019634 John Spencer Nurse Practitioner 420 E 76th St, New York, NY 10021-3396 2015-12-15
1619309929 Michael Bernard Klein Psychologist 420 E 76th St, New York, NY 10021-3396 2013-08-08
1982851952 John M. O'leary Anesthesiology 420 E 76th St, Gracie Square Hospital, New York, NY 10021-3104 2008-08-21
1669628749 Yorkville Psychiatry Pllc Internal Medicine 420 E 76th St, New York, NY 10021-3104 2008-08-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1952962227 Richard Callado Nurse Practitioner 245 5th Ave Ste 336, New York, NY 10016 2019-06-26
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Competitor

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City NEW YORK
Zip Code 10021

Improve Information

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Dataset Information

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.

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