TANIA GENNELL (NPI# 1235691544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235691544 |
| Entity Type | Individual |
| Full Name | TANIA GENNELL |
| Credential | MD |
| Practice Address |
222 Station Plz N Ste 300 Mineola NY 11501-3893 |
| Mailing Address |
247 W 3rd Ave Columbus OH 43201-3414 |
| Practice Telephone | 5166631625 |
| Mailing Telephone | 8057954340 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
222 STATION PLZ N STE 300 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124649629 | Tulio Brasileiro Silva Pacheco | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 300, Mineola, NY 11501-3893 | 2020-05-06 |
| 1750902557 | Alyssa Debra Scheiner | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 300, Mineola, NY 11501-3893 | 2020-05-03 |
| 1376109827 | Suedeh Ranjbar | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 300, Mineola, NY 11501-3893 | 2019-05-09 |
| 1891350823 | Yesha Maniar | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 300, Mineola, NY 11501-3893 | 2019-05-06 |
| 1285297812 | Reina Heckburn | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 300, Mineola, NY 11501-3893 | 2019-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1861013005 | Sanjeev Baldeo | Student in an Organized Health Care Education/Training Program | 222 Station Rd Ste 305, Mineola, NY 11501-3893 | 2020-04-28 |
| 1841821881 | Erek Jourdan Lucio | Student in an Organized Health Care Education/Training Program | 465 Jefferson Pl, Mineola, NY 11501-2215 | 2020-01-29 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1700447984 | Nikita Gill | Student in an Organized Health Care Education/Training Program | 101 Jackson Ave Apt 4j, Mineola, NY 11501-2724 | 2019-06-27 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1609338292 | Nicolas Gillingham | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Fl 5, Mineola, NY 11501-3800 | 2019-04-02 |
| 1134615883 | Marie Anne Christine Buteau | Student in an Organized Health Care Education/Training Program | 259 1st St Ste 509, Mineola, NY 11501-3957 | 2018-07-05 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in MINEOLA | ||||
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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.