REMEDIOS VALENCIA MENDEGORIN (NPI# 1275672008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275672008 |
Entity Type | Individual |
Full Name | REMEDIOS VALENCIA MENDEGORIN |
Credential | M.D. |
Practice Address |
998 Crooked Hill Rd W Brentwood NY 11717-1043 |
Mailing Address |
90 Rose Dr East Meadow NY 11554-1134 |
Practice Telephone | 6317613500 |
Practice Fax Number | 6317613630 |
Mailing Telephone | 5167945739 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
157276 | NY | Allopathic & Osteopathic Physicians |
Street Address |
998 CROOKED HILL RD |
City | W BRENTWOOD |
State | NY |
Zip Code | 11717-1043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215420856 | Corey Michael Hardiman | Registered Nurse | 998 Crooked Hill Rd, W Brentwood, NY 11717-1019 | 2018-06-08 |
1437516150 | Catherine Buehler | Registered Nurse | 998 Crooked Hill Rd, Bldg 69 Nys Icm, W Brentwood, NY 11717-1019 | 2016-01-26 |
1073978763 | Paula Censori | Counselor | 998 Crooked Hill Rd, Building 47, W Brentwood, NY 11717-1019 | 2015-12-22 |
1033574843 | Candido Crespo | Counselor | 998 Crooked Hill Rd, B.56, W Brentwood, NY 11717-1019 | 2015-12-21 |
1093180754 | Stephanie Bowler | Registered Nurse | 998 Crooked Hill Rd, W Brentwood, NY 11717-1019 | 2015-12-07 |
1942541891 | Yvonne Bush | Case Manager/Care Coordinator | 998 Crooked Hill Rd, Building #69; 2nd Floor, W Brentwood, NY 11717-1019 | 2013-03-01 |
1750635132 | Sean P Thomas | Nurse Practitioner | 998 Crooked Hill Rd, Building 1, Pilgrim Psychiatric Center, W Brentwood, NY 11717-1019 | 2012-11-06 |
1033461215 | Alexandra Valescot | Licensed Practical Nurse | 998 Crooked Hill Rd, W Brentwood, NY 11717-1019 | 2012-10-11 |
1356619282 | Natalya Chandre | Dietitian, Registered | 998 Crooked Hill Rd, W Brentwood, NY 11717-1019 | 2011-12-07 |
1578867222 | Lisa Joan Hunsucker | Dietitian, Registered | 998 Crooked Hill Rd, Bldg. 83 Dietary Dept., W Brentwood, NY 11717-1019 | 2011-01-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
Find all providers in zip 11717 |
Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982003380 | Johanna Cabassa | Psychiatry & Neurology | 111 E 210th St # Street1, Bronx, NY 10467-2401 | 2014-08-21 |
1427491745 | Mervat Estefanos | Psychiatry & Neurology | 1901 1st Ave, Room M1-18, Metropolitan Hospital Center, New York, NY 10029 | 2013-04-17 |
1194076851 | Paul E. Yarden | Psychiatry & Neurology | 201 E 77th St Apt 17b, New York, NY 10075-2085 | 2012-09-20 |
1588810592 | Nery Diaz | Psychiatry & Neurology | 635 W 165th St # Ei-6, New York, NY 10032-3724 | 2008-08-10 |
1679734651 | Stephanie Joan Samuels | Psychiatry & Neurology | 25 Gilbert Dr, Hyde Park, NY 12538-2431 | 2008-06-22 |
1295992410 | Lamberto Soriano Lopez | Psychiatry & Neurology | 28 Sherri Ln, Spring Valley, NY 10977-1300 | 2008-05-16 |
1982802906 | Alex Mikhelson | Psychiatry & Neurology | 690 Castleton Ave, Staten Island, NY 10310-1818 | 2007-07-11 |
1831224062 | Walter W. Furer | Psychiatry & Neurology | 150 E 90th St, New York, NY 10128-2328 | 2007-02-21 |
1225172075 | Diana Feldman | Psychiatry & Neurology | 525 East 68th Street # 140, New York, NY 10021 | 2007-02-16 |
1023155504 | Barry Reisberg | Psychiatry & Neurology | 20 Waterside Plaza, Suite # 7k, New York, NY 10010-2619 | 2007-01-31 |
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City | W BRENTWOOD |
Zip Code | 11717 |
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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.