MR. ROBERT F MALCOMSON (NPI# 1316097207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316097207 |
Entity Type | Individual |
Full Name | MR. ROBERT F MALCOMSON |
Credential | R.N. |
Practice Address |
998 Crooked Hill Rd W Brentwood NY 11717-1043 |
Mailing Address |
19 Sandpiper Ct Smithtown NY 11787-3325 |
Practice Telephone | 6313065778 |
Mailing Telephone | 6313664261 |
Enumeration Date | 2007-01-11 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
473687-1 | NY | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 473687-1 | 05 |
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 |
Find all providers in the same location |
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 | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013528363 | Ophelia Medical Group Ny, P.C. | Registered Nurse | 755 Park Ave Apt 4a, New York, NY 10021-4282 | 2020-08-11 |
1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
1811533151 | Kay Lobo Cordes | Registered Nurse | 6501 E Inducon Drive, Sanborn, NY 14132 | 2019-11-21 |
1396393633 | Emmanuelle Sheridan | Registered Nurse | 102 Fountain Ave, Selden, NY 11784-1908 | 2019-08-29 |
1750846267 | Shaedele Renise Desamours | Registered Nurse | 1825 Park Ave Fl 8, New York, NY 10035-1641 | 2019-02-08 |
1417459546 | Kristie Matos | Registered Nurse | 2778 3rd Ave, Bronx, NY 10455-4029 | 2018-03-05 |
1982116166 | Angela Douglas | Registered Nurse | 1001 E 55th St, Brooklyn, NY 11234-1701 | 2017-10-28 |
1669994497 | Sheila Lenora Eastmond-chapman | Registered Nurse | 547 Pine St, Brooklyn, NY 11208-3901 | 2017-07-13 |
1184160814 | Christopher Cox | Registered Nurse | 46 5th Ave S, Huntington Station, NY 11746-2343 | 2017-01-19 |
1518401629 | Fawn Erin Medina | Registered Nurse | 2920 Wilson Avenue, Bronx, NY 10469 | 2016-12-08 |
Find all providers with the same taxonomy |
City | W BRENTWOOD |
Zip Code | 11717 |
Please comment or provide details below to improve the information on MR. ROBERT F MALCOMSON.
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.