DR. CORINNE BROOKE VIDULICH (NPI# 1225491772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225491772 |
| Entity Type | Individual |
| Full Name | DR. CORINNE BROOKE VIDULICH |
| Credential | M.D. |
| Practice Address |
175 Tarrytown Rd White Plains NY 10607-1607 |
| Mailing Address |
117 Perry St Apt 9 New York NY 10014-2355 |
| Practice Telephone | 9147616566 |
| Mailing Telephone | 9176551312 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 301007-01 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
175 TARRYTOWN RD |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10607-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821155946 | Violet A Petroni | Nurse Practitioner | 175 Tarrytown Rd, White Plains, NY 10607-1607 | 2007-01-02 |
| 1205435872 | Daniela Villaman | Physician Assistant | 175 Tarrytown Rd, White Plains, NY 10607-1607 | 2020-10-23 |
| 1972148138 | Daisha-monet Kellogg | Nurse Practitioner | 175 Tarrytown Rd, White Plains, NY 10607-1607 | 2019-11-12 |
| 1124537535 | Elanor Schoomer | Advanced Practice Midwife | 175 Tarrytown Rd, White Plains, NY 10607-1607 | 2017-09-28 |
| 1689927378 | Colleen Marie Martella | Nurse Practitioner | 175 Tarrytown Rd, White Plains, NY 10607-1607 | 2012-10-18 |
| 1396925277 | Carol Ann Hughes | Advanced Practice Midwife | 175 Tarrytown Rd, White Plains, NY 10607-1607 | 2007-11-08 |
| 1659584225 | Aurey J Sheehy | Pediatrics | 175 Tarrytown Rd, White Plains, NY 10607-1607 | 2007-05-08 |
| 1720204498 | Katharine Frisch Burnett | Nurse Practitioner | 175 Tarrytown Rd, White Plains, NY 10607-1607 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467939785 | Chiedozie C Chigewe | Nurse Practitioner | 455 Tarrytown Rd, Suite 1594, White Plains, NY 10607 | 2018-07-20 |
| 1235656299 | Denzel Cherry | Physical Therapist | One Stonewall Circle, White Plains, NY 10607 | 2017-08-29 |
| 1508110610 | Karlie S Goldstein | Social Worker | 280 Dobbs Ferry Rd Ste 200, White Plains, NY 10607 | 2012-10-29 |
| 1558623827 | Vebian Chang | Registered Nurse | 2 North Woodlands Ave, White Plains, NY 10607 | 2012-06-13 |
| 1124385984 | Ina Lesley Fiedler | Psychologist | 30 Manhattan Avenue, Lois Bronz Children's Center, White Plains, NY 10607 | 2012-04-18 |
| 1053687632 | Sholly Kunjumon Cherian | Registered Nurse | 5 Piper Ct, White Plains, NY 10607 | 2012-03-28 |
| 1306114152 | Hetal Patel | Pharmacist | 101 Knollwood Road, White Plains, NY 10607 | 2011-12-08 |
| 1174840946 | Mss Electronics Inc | Emergency Response System Companies | 16 Yellowstone Ave, White Plains, NY 10607 | 2010-05-03 |
| 1073836524 | Lovedale Ambulette Inc | Non-emergency Medical Transport (VAN) | 280 Dobbsfery Rd # 304, White Plains, NY 10607 | 2010-03-11 |
| 1225287402 | Mount Vernon Neighborhood Health Center, Inc. | Clinic/Center | 295 Knollwood Rd, White Plains, NY 10607 | 2008-09-12 |
| Find all providers in zip 10607 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922320506 | Miriam Sytner | Family Medicine | 34 Gedney Way, White Plains, NY 10605-2519 | 2010-02-23 |
| 1942421912 | Kyo Jung Koh | Family Medicine | 266 E Bryant Ave., White Plains, NY 10605 | 2007-05-01 |
| 1639249832 | Vanita Kumar | Family Medicine | 222 Mamaroneck Ave, Suite 211, White Plains, NY 10605-1303 | 2006-11-08 |
| 1144240680 | Access Medical Group,pc | Family Medicine | 707 Westchester Ave, Suite 110, White Plains, NY 10604-3102 | 2006-07-20 |
| 1265480347 | Kimberly Destefano Larsen | Family Medicine | 4225 Altamont Pl Ste 201, White Plains, MD 20695-3065 | 2006-05-04 |
| 1174502595 | Craig Arthur Jeschke | Family Medicine | 4225 Altamont Place, Suite 201, White Plains, MD 20695 | 2006-01-13 |
| 1770579633 | Dr Baig LLC | Family Medicine | 4255 Altamont Pl, Ste 203, White Plains, MD 20695-3024 | 2005-09-26 |
| 1083107171 | Shania Morrison | Family Medicine | 210 Westchester Ave, White Plains, NY 10604 | 2018-06-13 |
| 1467846840 | Ashleigh Mcgregor | Family Medicine | 210 Westchester Ave, White Plains, NY 10604-2901 | 2015-03-24 |
| 1093121436 | Welcome Health Family Np, PC | Family Medicine | 470 Mamaroneck Ave, Suite 206, White Plains, NY 10605-1830 | 2014-07-07 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 10607 |
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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.