SAMUEL ANTHONY JOHN TABACCHI (NPI# 1366905721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366905721 |
| Entity Type | Individual |
| Full Name | SAMUEL ANTHONY JOHN TABACCHI |
| Credential | DO |
| Practice Address |
77 Goodell St Ste 340 Buffalo NY 14203-1243 |
| Practice Telephone | 7166459716 |
| Mailing Telephone | 7166459716 |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
77 GOODELL ST STE 340 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902265085 | Andrea R Miller | Physician Assistant | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2016-02-17 |
| 1821610247 | Elizabeth Kozlowski | Student in an Organized Health Care Education/Training Program | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2020-05-07 |
| 1235750019 | Timi Jade Shiock | Student in an Organized Health Care Education/Training Program | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2020-05-03 |
| 1609497759 | Nicholas Pokoj | Student in an Organized Health Care Education/Training Program | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2020-04-29 |
| 1982224341 | Adrian James Martin | Student in an Organized Health Care Education/Training Program | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2020-04-25 |
| 1548880354 | Zachary Snyder | Student in an Organized Health Care Education/Training Program | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2020-04-22 |
| 1073133260 | Daniel Mongeon | Student in an Organized Health Care Education/Training Program | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2020-04-17 |
| 1932729134 | Berniece Chen | Student in an Organized Health Care Education/Training Program | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2020-04-17 |
| 1275162687 | Patrick Moyer | Student in an Organized Health Care Education/Training Program | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2020-04-07 |
| 1104455807 | Gary Schuyler Zimmer IIi | Student in an Organized Health Care Education/Training Program | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2020-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1013538917 | Leen Hosam Alyacoub | Student in an Organized Health Care Education/Training Program | 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 | 2020-05-01 |
| 1003436601 | Maxiam Dean | Student in an Organized Health Care Education/Training Program | Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 | 2020-04-23 |
| 1144849837 | Jennifer Anthone-kloss | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-13 |
| 1821658873 | Peter William Ip Fung Chun | Student in an Organized Health Care Education/Training Program | 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 | 2019-06-20 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655273 | Daniel Edwards | Student in an Organized Health Care Education/Training Program | 52 Angle St Uppr, Buffalo, NY 14214-1139 | 2020-10-05 |
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1356964043 | Andrew Buck | Student in an Organized Health Care Education/Training Program | 3435 Main St # 119, Buffalo, NY 14214-3001 | 2020-05-28 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1346862935 | Hafiz Muhammad Fazeel | Student in an Organized Health Care Education/Training Program | 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 | 2020-05-18 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
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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.