DR. PETER G. MEDONIS JR. (NPI# 1366491300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366491300 |
| Entity Type | Individual |
| Full Name | DR. PETER G. MEDONIS JR. |
| Credential | ED.D. |
| Practice Address |
2094 Albany Post Rd Route 9a Montrose NY 10548-1454 |
| Practice Telephone | 9147374400 |
| Mailing Telephone | 9147374400 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
012009 | NY | Behavioral Health & Social Service Providers |
| Street Address |
2094 ALBANY POST RD ROUTE 9A |
| City | MONTROSE |
| State | NY |
| Zip Code | 10548-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989601 | Renee Giordano | Social Worker | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2005-08-17 |
| 1023616463 | Alyssa Sanchez Torn | Social Worker | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-10-16 |
| 1528665965 | Linda Isabella Dossantos | Social Worker | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-10-08 |
| 1447866041 | Bryan Harrison | Social Worker | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-09-18 |
| 1073127973 | Haneul Judy Kwon | Pharmacist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-09-08 |
| 1003428228 | Pedro Mario Gonzalez | Recreation Therapist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-08-19 |
| 1003425018 | Reshmi Kurup | Optometrist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-07-26 |
| 1528676095 | Inova Javier | Social Worker | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-07-21 |
| 1720696529 | Lauren Sternberg | Student in an Organized Health Care Education/Training Program | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-07-17 |
| 1851918676 | Sheena Patel | Optometrist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962958249 | Patricia Cole | Recreation Therapist | 2049 Albany Post Road, Montrose, NY 10548 | 2016-08-28 |
| 1508260472 | Ann M. Constantine | Social Worker | 57 Trolley Road, Frank G. Lindsey School, Montrose, NY 10548 | 2014-10-21 |
| 1750784690 | Susan Burke | Speech-Language Pathologist | 61 Trolley Road, Hendrick Hudson School District, Montrose, NY 10548 | 2014-10-07 |
| 1033369400 | Geri Lynne Friedman | Counselor | 2125 Albany Post Road, Suite 204, Montrose, NY 10548 | 2008-09-23 |
| 1063660942 | Sebastian J Shaw | Counselor | 2095 Albany Post Rd, Montrose, NY 10548 | 2008-09-03 |
| 1104093657 | Mertha L Wright | Social Worker | 20 94 Albany Post Rd, B52 R137, Montrose, NY 10548 | 2008-05-14 |
| 1336357334 | Mi-hyon Cho | Physical Medicine & Rehabilitation | Montrose Campus, Va Hudson Valley Health Care System, Montrose, NY 10548 | 2007-05-21 |
| 1811062110 | Stuart N Landesberg | Chiropractor | 2144 Albany Post Road, Montrose, NY 10548 | 2006-11-21 |
| 1598855199 | Michael D Glassman | Pharmacist | 138 Albany Post Road, Montrose, NY 10548 | 2006-10-13 |
| 1447346507 | Jay Pomales | Psychologist | Va Hudson Valley Healthcare System Albany Post Road, Montrose, NY 10548 | 2006-10-05 |
| Find all providers in zip 10548 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447346507 | Jay Pomales | Psychologist | Va Hudson Valley Healthcare System Albany Post Road, Montrose, NY 10548 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484151 | Fred Ronald Waxenberg | Psychologist | 3001 Hewlett Ave, Merrick, NY 11566-5312 | 2020-10-16 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1699384495 | Illumination Psychology Pllc | Psychologist | 88 Terry Rd Ste 106, Smithtown, NY 11787-3811 | 2020-07-28 |
| 1881212140 | Elizabeth Wilen-berg | Psychologist | 308 W 103rd St Apt 8d, New York, NY 10025-4463 | 2020-07-13 |
| 1396361747 | Jeanna Pagnotta | Psychologist | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | 2020-06-22 |
| 1376167544 | Amelio A D'onofrio | Psychologist | 58 E 79th St Fl 4f, New York, NY 10075-0221 | 2020-06-03 |
| 1114540648 | Alexandra Lerner | Psychologist | 10 Whitetail Dr, Ithaca, NY 14850-9458 | 2020-05-19 |
| 1386265882 | Abba Human Services Foundation, Inc | Psychologist | 10 Schriever Ln Ste B, New City, NY 10956-3314 | 2020-05-06 |
| 1750911160 | Julie Herman Hirschfeld | Psychologist | 575 West End Ave. Gr-a-3, New York, NY 10024-2711 | 2020-01-24 |
| 1588204093 | Rebecca Frances Reed | Psychologist | 1 City Pl Apt 610, White Plains, NY 10601-3334 | 2020-01-13 |
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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.