CARLY WACHTEL (NPI# 1285280065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285280065 |
| Entity Type | Individual |
| Full Name | CARLY WACHTEL |
| Credential | PA-C |
| Practice Address |
28650 State Highway 23 Stamford NY 12167-1712 |
| Practice Telephone | 6076522537 |
| Mailing Telephone | 6076522537 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2020-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
28650 STATE HIGHWAY 23 |
| City | STAMFORD |
| State | NY |
| Zip Code | 12167-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790764603 | Yvonne Sue Nelson | Family Medicine | 28650 State Highway 23, Stamford, NY 12167-1712 | 2006-01-10 |
| 1881648160 | Eileen C King | Physician Assistant | 28650 State Highway 23, Stamford, NY 12167-1712 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255714556 | Jennifer Dane | Social Worker | 226 Capehorn Road, Stamford, NY 12167 | 2015-07-06 |
| 1982998795 | Stamford Health Care Society | Assisted Living Facility | One Buntline Dr, Stamford, NY 12167 | 2011-06-09 |
| 1891018115 | Louis James O'connor | Pharmacist | 7 1/2 South Delaware Street, Stamford, NY 12167 | 2010-03-02 |
| 1831202183 | Christy Odonnell | Nurse Practitioner | 32 34 Main Street, Stamford, NY 12167 | 2006-08-17 |
| 1659584449 | Michael Francis Meehan | Dentist | 32-34 Main St, Stamford, NY 12167 | 2007-05-08 |
| 1922162148 | Robert John Connelly | Optometrist | 22 Harper St, Stamford, NY 12167-0088 | 2006-12-21 |
| 1497923528 | Robert J. Connelly | Eyewear Supplier (Equipment, not the service) | 22 Harper St, Stamford, NY 12167-0088 | 2008-02-11 |
| 1053587022 | Vern Vincent Barnes | Pharmacist | 5 Lake St, Stamford, NY 12167-1007 | 2008-04-30 |
| 1689714800 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 5 Lake Street, Stamford, NY 12167-1007 | 2007-02-07 |
| 1548784333 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5 Lake St, Stamford, NY 12167-1007 | 2017-08-02 |
| Find all providers in zip 12167 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255844197 | Philease J Martin | Physician Assistant | 2001 W Main St, Stamford, CT 06902-4501 | 2017-11-14 |
| 1366999856 | Brianna Faust | Physician Assistant | 1 Hospital Plaza, Stamford Hospital - Emergency Department, Stamford, CT 06902 | 2016-09-01 |
| 1396154233 | Sarah Spring | Physician Assistant | 1 Blachley Rd, Stamford, CT 06902-0002 | 2014-08-05 |
| 1821389040 | Betty Exume | Physician Assistant | One Hospital Plaza, Stamford, CT 06904 | 2011-04-21 |
| 1134445760 | Michael Adam Bergman | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2010-04-07 |
| 1205159290 | Christopher Joseph Palkimas | Physician Assistant | 945 Summer St Fl 3, Stamford, CT 06905-5557 | 2010-03-05 |
| 1255660247 | Megan Arthur Mask | Physician Assistant | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2009-12-22 |
| 1982746707 | Kathleen Anne O'connor | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2007-02-12 |
| 1649351602 | Shilpa Desai | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2006-10-18 |
| 1427142058 | Albert Anthony Luongo | Physician Assistant | 32 Strawberry Hill Ct, Suite 41052, Stamford, CT 06902-2594 | 2006-10-03 |
| Find all providers in STAMFORD | ||||
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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.