MRS. ELAINE M LIBRUK (NPI# 1285907097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285907097 |
| Entity Type | Individual |
| Full Name | MRS. ELAINE M LIBRUK |
| Credential | RN |
| Practice Address |
91 Fiddlers Ln Latham NY 12110-5343 |
| Practice Telephone | 5187858591 |
| Mailing Telephone | 5187858591 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
309205 | NY | Nursing Service Providers |
| Street Address |
91 FIDDLERS LN |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-5343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093087322 | Erika L Lyons | Occupational Therapist | 91 Fiddlers Ln, Latham, NY 12110-5343 | 2012-02-02 |
| 1073038329 | Tracy Delmerico | Registered Nurse | 91 Fiddlers Ln, Latham, NY 12110-5343 | 2017-08-08 |
| 1235597659 | North Colonie Central School District | Skilled Nursing Facility | 91 Fiddlers Ln, Latham, NY 12110-5343 | 2016-01-30 |
| 1225394349 | Ann Theresa Mahoney | Registered Nurse | 91 Fiddlers Ln, Latham, NY 12110-5349 | 2012-04-03 |
| 1831463694 | Deborah Margaret Shea | Physical Therapy Assistant | 91 Fiddlers Ln, Latham, NY 12110-5349 | 2012-02-26 |
| 1346513959 | Terri E Schaefer | Occupational Therapy Assistant | 91 Fiddlers Ln, Latham, NY 12110-5343 | 2012-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588035299 | Melissa Bulson | Registered Nurse | 445 Watervliet-shaker Road, Latham, NY 12110-4697 | 2015-10-08 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1891067724 | Mary Lou Madrick | Registered Nurse | 34 Citation Dr, Latham, NY 12110-1950 | 2012-02-08 |
| 1821360843 | Nancy Ann Zandri | Registered Nurse | 6 Mercer Ave, Latham, NY 12110-3304 | 2012-02-07 |
| 1285906305 | Suzanne Evangelista | Registered Nurse | 347 Old Loudon Rd, Latham, NY 12110-2941 | 2012-02-06 |
| 1609158849 | Kimberly Anne Medici | Registered Nurse | 100 Clinton Rd, Latham, NY 12110-4200 | 2011-09-14 |
| 1063068641 | Chelsea Lee Young | Registered Nurse | 475 Watervliet Shaker Rd, Latham, NY 12110-4698 | 2019-08-10 |
| 1114480092 | Dana King Brizee | Registered Nurse | 475 Watervliet Shaker Rd, Latham, NY 12110-4622 | 2019-04-09 |
| 1003376898 | Shawn-amy Rae Bazargan-lari | Registered Nurse | 475 Watervliet Shaker Rd, Latham, NY 12110-4622 | 2019-03-20 |
| 1073038329 | Tracy Delmerico | Registered Nurse | 91 Fiddlers Ln, Latham, NY 12110-5343 | 2017-08-08 |
| Find all providers in LATHAM | ||||
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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.