EDYTA KNOBLOCH


Address: 1110 South Ave, Staten Island, NY 10314-3403
Phone: 3472731290

EDYTA KNOBLOCH (NPI# 1336707033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336707033
Entity Type Individual
Full Name EDYTA KNOBLOCH
Credential MHC-LP
Practice Address 1110 South Ave
Staten Island
NY 10314-3403
Mailing Address 143 Oak Ave
Staten Island
NY 10306-4002
Practice Telephone 3472731290
Mailing Telephone 3472454141
Enumeration Date 2019-05-29
Last Update Date 2019-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1110 SOUTH AVE
City STATEN ISLAND
State NY
Zip Code 10314-3403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609860121 Michele Cammarata Family Medicine 1110 South Ave, Suite 306, Staten Island, NY 10314-3403 2005-09-12
1891315677 Brooke Randall Early Intervention Provider Agency 1110 South Ave, Staten Island, NY 10314-3403 2020-04-21
1114551363 Alyssa Elizabeth Ryan Social Worker 1110 South Ave, Staten Island, NY 10314-3403 2020-02-26
1548822372 Nicole Vento Case Manager/Care Coordinator 1110 South Ave, Suite 405, Staten Island, NY 10314-3414 2019-07-02
1649760141 Ashley Santucci Occupational Therapist 1110 South Ave, Staten Island, NY 10314-3403 2018-05-10
1558866103 Jennifer Colon Case Manager/Care Coordinator 1110 South Ave, Staten Island, NY 10314-3403 2018-03-27
1740795467 John Mccahey Specialist 1110 South Ave, Staten Island, NY 10314-3403 2017-12-04
1083160170 Jacqueline Shall-mccumiskey Psychologist 1110 South Ave, Suite 5, Staten Island, NY 10314-3403 2016-08-29
1346601333 Penrose Dermatology Pllc Clinic/Center 1110 South Ave, Suite 400, Staten Island, NY 10314-3403 2016-03-17
1790155372 Laura Parisi Counselor 1110 South Ave, Suite 5, Staten Island, NY 10314-3403 2015-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1174025894 Staten Island Dentistry P.C. Clinic/Center 979 Willowbrook Rd., Staten Island, NY 10314 2018-03-08
1205335023 Ashley Larsen Early Intervention Provider Agency 229 Wellington Ct, Staten Island, NY 10314 2018-02-07
1306369699 Victoria Ali Behavior Technician 228 Melvin Avenue, Staten Island, NY 10314 2017-07-19
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799675 Matthew Marchisello Counselor 201 Forest Avenue, Staten Island, NY 10301-2763 2020-10-30
1932708682 My Quiet Place, Mental Health Counseling P.C. Counselor 115 Graham Blvd Apt A, Staten Island, NY 10305-4005 2020-10-23
1043817067 Jessica Megan Flores Counselor 218 Union Ave, Staten Island, NY 10303-2442 2020-10-02
1780291070 Alexandria Savastano Counselor 87 Tioga St, Staten Island, NY 10301-4209 2020-09-30
1326652322 Chloe Jeannette Hansen-augello Counselor 194 Robinson Ave, Staten Island, NY 10312-6216 2020-09-07
1497369722 Jennifer Laura Lerner Counselor 2a Kathy Pl, Staten Island, NY 10314-5912 2020-09-03
1134737372 Nancy Burns Counselor 345 Guyon Ave # 14, Staten Island, NY 10306 2020-07-14
1578188447 Christina Marie Carbone Counselor 177 Sprague Ave, Staten Island, NY 10307-1959 2020-06-16
1689298044 Michelle Renee Perlongo Counselor 12 Jefferson Blvd Ste 2, Staten Island, NY 10312-3330 2020-06-02
1215550033 Kay Nuzzo Counselor 198 Davis Ave, Staten Island, NY 10310-1652 2020-05-27
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Competitor

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City STATEN ISLAND
Zip Code 10314

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Dataset Information

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.

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