LEELAMMA V KOIKKAL (NPI# 1235221581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235221581 |
Entity Type | Individual |
Full Name | LEELAMMA V KOIKKAL |
Credential | R.N |
Practice Address |
2324 Forest Ave Staten Island NY 10303-1506 |
Mailing Address |
175 Westwood Ave Staten Island NY 10314-5414 |
Practice Telephone | 7184470200 |
Practice Fax Number | 7189811431 |
Mailing Telephone | 7184946258 |
Mailing Fax Number | 7189811431 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
304062 | NY | Nursing Service Providers |
Street Address |
2324 FOREST AVE |
City | STATEN ISLAND |
State | NY |
Zip Code | 10303-1506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487673380 | Mariya Tsinis | Physical Medicine & Rehabilitation | 2324 Forest Ave, Staten Island, NY 10303-1506 | 2006-07-19 |
1225572720 | Paul Swinnerton | Occupational Therapist | 2324 Forest Ave, Staten Island, NY 10303-1506 | 2016-12-19 |
1376969451 | Fahmieh Jawad | Speech-Language Pathologist | 2324 Forest Ave, Staten Island, NY 10303-1506 | 2014-03-12 |
1487088167 | Victoria Lee | Speech-Language Pathologist | 2324 Forest Ave, Staten Island, NY 10303-1506 | 2013-08-29 |
1649516352 | Metro Community Health Centers, Inc. | Clinic/Center | 2324 Forest Ave, Staten Island, NY 10303-1506 | 2012-12-27 |
1912288366 | Jessica Ahn | Speech-Language Pathologist | 2324 Forest Ave, Staten Island, NY 10303-1506 | 2011-08-30 |
1992084933 | Brenda Louise Munroe | Social Worker | 2324 Forest Ave, Staten Island, NY 10303-1506 | 2011-08-09 |
1902190788 | Penny Ann Troiano | Social Worker | 2324 Forest Ave, Staten Island, NY 10303-1506 | 2011-06-08 |
1790087914 | Cerebral Palsey Assoc Nys | Community/Behavioral Health | 2324 Forest Ave, Staten Island, NY 10303-1506 | 2010-11-19 |
1093953614 | Mariamma C Abraham | Registered Nurse | 2324 Forest Ave, Staten Island, NY 10303-1506 | 2009-02-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114580297 | Krisiya Ilianna Deschamps-perez | Registered Nurse | 12 Kinsey Pl, Staten Island, NY 10303 | 2019-04-15 |
1376057398 | Vine Gate Inc. | Case Management | 42 Amity Pl, Staten Island, NY 10303 | 2017-11-29 |
1396289815 | Lateefat Onitiri | Licensed Practical Nurse | 21 Wright Avenue, Staten Island, NY 10303 | 2016-12-19 |
1922466101 | Lydia Ogaja | Registered Nurse | 176 B Netherland Avenue, Staten Island, NY 10303 | 2016-02-03 |
1679994594 | Sibi Abraham | Physical Therapist | 2324 Forest Ave Ny, Staten Island, NY 10303 | 2013-12-18 |
1750633442 | Geraldine Gamboa | Physical Therapist | 939 Goethals Road North, Unit 1, Staten Island, NY 10303 | 2012-10-05 |
1710235635 | Michael J. Tighe | Specialist | 400 Lake Avenue, Visiting Nurse Association, Staten Island, NY 10303 | 2012-08-27 |
1710232798 | Funmilola Azeezat Kolawole | Licensed Practical Nurse | 85 Lockman Av, Staten Island, NY 10303 | 2012-07-17 |
1396013520 | Destiny Rodriguez | Interpreter | 35 Holland Ave. Apt. 8c, Staten Island, NY 10303 | 2011-12-02 |
1497043756 | Margaret Ultra Home Care Inc. | Licensed Practical Nurse | 271b Maple Parkway, Staten Island, NY 10303 | 2011-07-20 |
Find all providers in zip 10303 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
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1811548019 | Manuel Cifuentes | Registered Nurse | 646 Willowbrook Rd, Staten Island, NY 10314-6826 | 2019-09-28 |
1871052571 | Debra Ann Martinez Wright | Registered Nurse | 26 Dumont Ave, Staten Island, NY 10305-1450 | 2019-03-13 |
1588179253 | Melissa Castellano | Registered Nurse | 267 Port Richmond Ave, Staten Island, NY 10302-1704 | 2017-12-04 |
1821528951 | Joseph Nwabueze Ezekwem | Registered Nurse | 26 Dumont Ave, Staten Island, NY 10305-1450 | 2017-06-12 |
1932418217 | Virginia Kin Leong | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305 | 2010-10-04 |
1407165327 | Carol A Oliveri | Registered Nurse | 777 Seaview Ave, South Beach Psychiatric Center - Ben Opd, Staten Island, NY 10305-3409 | 2010-09-27 |
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1114525797 | Lavern H Simms | Registered Nurse | 207 Long Beach Rd, Hempstead, NY 11550-7314 | 2020-10-15 |
1205434453 | Aida Cino | Registered Nurse | 1522 W 1st St Fl 2, Brooklyn, NY 11204-3501 | 2020-10-10 |
1205441946 | Laura Innes | Registered Nurse | 6 Aldar Ct, Cortlandt Manor, NY 10567-1304 | 2020-09-10 |
1093329831 | Jael Brooks | Registered Nurse | 647 E 232nd St Apt 3a, Bronx, NY 10466-2923 | 2020-08-31 |
1730790106 | Heidi Velasquez | Registered Nurse | 29 Stanley St, Inwood, NY 11096-1513 | 2020-08-11 |
1578188835 | Cindy E Perkins | Registered Nurse | 7531 Ct Rt 89, Bath, NY 14810 | 2020-06-12 |
1467075812 | Alex Abraham | Registered Nurse | 1 Marion Ct, Pomona, NY 10970-2634 | 2020-05-20 |
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City | STATEN ISLAND |
Zip Code | 10303 |
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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.