ROSE SUZETTE BRISTOL (NPI# 1295009926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295009926 |
| Entity Type | Individual |
| Full Name | ROSE SUZETTE BRISTOL |
| Practice Address |
339 Hicks St 3rd Floor Fuller Brooklyn NY 11201-5509 |
| Practice Telephone | 7187801000 |
| Practice Fax Number | 7187804911 |
| Mailing Telephone | 7187801000 |
| Mailing Fax Number | 7187804911 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
003327-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
339 HICKS ST 3RD FLOOR FULLER |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901679 | Ciril J Godec | Urology | 339 Hicks St, Fl 7, Brooklyn, NY 11201-5509 | 2005-06-10 |
| 1376985069 | Parul Patel | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-07-23 |
| 1124368402 | Sonia A D'amelio Raymond | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-02-22 |
| 1396080503 | Marcia Andrea Reid | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-11-29 |
| 1184983215 | Jonathan Shih-chen Kung | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-05-09 |
| 1861759169 | Hyoung Kyu Oh | Radiology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-04-12 |
| 1386917383 | Pearline Mentis Thompson | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-02-22 |
| 1720374986 | Ammar Mahmoud | Obstetrics & Gynecology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-06-24 |
| 1205129459 | Simran Kaur Mann | Internal Medicine | 339 Hicks St, Dept of Internal Medicine, Brooklyn, NY 11201-5509 | 2011-05-20 |
| 1841581659 | Long Island College Hospital | General Acute Care Hospital | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1447716824 | Laura Holmes | Physician Assistant | 401 S 5th St Fl 2, Brooklyn, NY 11211-7426 | 2019-02-11 |
| 1497206981 | Viktoriya Sionov | Physician Assistant | 6522 Avenue M, Brooklyn, NY 11234-5600 | 2016-10-19 |
| 1003212994 | Precision Physicians Assistant | Physician Assistant | 149 Dupont St, Apt1, Brooklyn, NY 11222-1279 | 2014-11-05 |
| 1417386640 | Alexandra Demeglio | Physician Assistant | 1357 Ovington Ave, Brooklyn, NY 11219-6111 | 2013-11-07 |
| 1659706570 | Lyudmila Trubetsky | Physician Assistant | 2942 W 5th St, Apt. 7t, Brooklyn, NY 11224-3834 | 2013-09-10 |
| 1831531094 | Julio Alberto Chau | Physician Assistant | 173 Clinton St Apt B, Brooklyn, NY 11201-5640 | 2013-07-29 |
| 1164799508 | James Earl La Voy | Physician Assistant | 257 Gold St, # 6 J, Brooklyn, NY 11201-2034 | 2011-11-30 |
| 1629363486 | Michael Joseph Levine | Physician Assistant | 1030 Park Pl Apt B10, Brooklyn, NY 11213-1967 | 2011-06-09 |
| 1134411630 | Suzanne Cassandra Forde | Physician Assistant | 1850 Brooklyn Avenue, Apt. 4h, Brooklyn, NY 11210-4248 | 2011-05-03 |
| Find all providers in BROOKLYN | ||||
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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.