MARY HENDRICKSON (NPI# 1104177054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104177054 |
| Entity Type | Individual |
| Full Name | MARY HENDRICKSON |
| Credential | DC |
| Practice Address |
201 Glen Ave Scotia NY 12302-2126 |
| Practice Telephone | 5183820055 |
| Practice Fax Number | 5183820099 |
| Mailing Telephone | 5183820055 |
| Mailing Fax Number | 5183820099 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X005348-1 | NY | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023365277 | Mary Ellen Hendrickson | Massage Therapist | 1623 13th Ave S, Great Falls, MT 59405-4705 | 2012-08-07 |
| 1457663288 | Mary Angeline Hendrickson | Counselor | 401 E. 10th Ave, Suite 330, Eugene, OR 97401 | 2010-07-09 |
| 1235303983 | Mary L Hendrickson | Pharmacist | 6101 N 64th St, Milwaukee, WI 53218-1543 | 2008-04-14 |
| 1699755561 | Mary Josephine Hendrickson | Psychologist | 5825 221st Place Se, Ste 201, Issaquah, WA 98027 | 2006-01-18 |
| 1588036511 | Mary Hendrickson | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2015-10-29 |
| 1164569612 | Mary Lynn Hendrickson | Psychologist | 11900 Wayzata Blvd, Suite 216, Minnetonka, MN 55305-2031 | 2007-01-31 |
| Street Address |
201 GLEN AVE |
| City | SCOTIA |
| State | NY |
| Zip Code | 12302-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366566234 | Edward Albert Kinum IIi | Chiropractor | 201 Glen Ave, Scotia, NY 12302-2126 | 2007-03-18 |
| 1669671442 | Catherine Mary Cawley | Massage Therapist | 201 Glen Ave, Scotia, NY 12302 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921973 | Maria Magnoua Castaneda | Case Manager/Care Coordinator | 701 Carnbridge Manor Dr., Scotia, NY 12302 | 2020-08-05 |
| 1184050353 | Empire Vision Centers, Inc | Eyewear Supplier (Equipment, not the service) | 10 Glenridge Rd Store#1, Glenville, NY 12302 | 2013-09-19 |
| 1265773212 | Caroline M Lupi | Licensed Practical Nurse | 19 Glenridge Rd Ste E, Glenville, NY 12302 | 2013-03-14 |
| 1477805844 | Kinum Chiropractic PC | Chiropractor | 201glen Ave., Scotia, NY 12302 | 2012-10-10 |
| 1558686444 | Marsha M Tulloch | Licensed Practical Nurse | 125 Mohawk Ave, Gentle Home Health Care, Scotia, NY 12302 | 2010-04-02 |
| 1841515988 | Maureen K. Hansen | Licensed Practical Nurse | 109 Mohawk Ave., Gentle Home Health Care, Inc., Scotia, NY 12302 | 2010-04-01 |
| 1275858425 | Flora Lynn Worden | Licensed Practical Nurse | 109 Mohawk Ave, Scotia, NY 12302 | 2010-03-31 |
| 1255654943 | Kevin Daniel Valade | Pharmacist | 257 Saratoga Rd., Glenville, NY 12302 | 2010-03-09 |
| 1356574149 | Ann Elizabeth Helbling | Community Health Worker | 419 Weatherwax Road, Glenville, NY 12302 | 2009-08-27 |
| 1689811317 | Roger Guy Singer | Chiropractor | 353 Saratoga Road, Scotia, NY 12302 | 2009-01-16 |
| Find all providers in zip 12302 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477805844 | Kinum Chiropractic PC | Chiropractor | 201glen Ave., Scotia, NY 12302 | 2012-10-10 |
| 1689811317 | Roger Guy Singer | Chiropractor | 353 Saratoga Road, Scotia, NY 12302 | 2009-01-16 |
| 1013193234 | David J Cerniglia Dc PC | Chiropractor | 105 Mohawk Ave, Scotia, NY 12302-2247 | 2008-01-17 |
| 1366566234 | Edward Albert Kinum IIi | Chiropractor | 201 Glen Ave, Scotia, NY 12302-2126 | 2007-03-18 |
| 1649332800 | David Thomas Civale | Chiropractor | 1 Swaggertown Rd, Scotia, NY 12302-3249 | 2006-12-14 |
| 1255410155 | Frank Brian Bell | Chiropractor | 322 Ballston Rd, Scotia, NY 12302-3113 | 2006-11-03 |
| 1891886180 | Nancy Cappiello | Chiropractor | 562 Saratoga Rd, Scotia, NY 12302-5731 | 2006-09-28 |
| 1265444673 | David J Cerniglia | Chiropractor | 25 Mohawk Ave, Scotia, NY 12302-2565 | 2006-08-13 |
| 1215209432 | Cappiello Chiropractic, Pllc | Chiropractor | 562 Saratoga Rd, Scotia, NY 12302-5731 | 2012-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980959 | Jay Rosenbluth | Chiropractor | 501 5th Ave Rm 809, New York, NY 10017-7809 | 2020-10-20 |
| 1457959223 | Howard Joseph Baron | Chiropractor | 360 Shore Rd Apt 6b, Long Beach, NY 11561-4374 | 2020-10-14 |
| 1003414079 | Brett John Poniros | Chiropractor | 220 Tompkins Ave, Pleasantville, NY 10570-3146 | 2020-10-13 |
| 1528675923 | Dominic Estevez | Chiropractor | 361 N Broadway, Lindenhurst, NY 11757-3302 | 2020-09-29 |
| 1457963969 | Mariella Townsend | Chiropractor | 220 S Service Rd Ste 12, Roslyn Heights, NY 11577-2131 | 2020-08-18 |
| 1235740275 | Andrea Hope Levin | Chiropractor | 280 Beaumont St, Brooklyn, NY 11235-4121 | 2020-08-13 |
| 1326657354 | David Gurpegui | Chiropractor | 13263 Maple Ave Apt 2r, Flushing, NY 11355-4417 | 2020-07-27 |
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1700404027 | Amy J Lin | Chiropractor | 8225 Queens Blvd Ste 1a, Elmhurst, NY 11373-4242 | 2020-07-13 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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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.