KIMBERLY VITACCO (NPI# 1407351596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407351596 |
| Entity Type | Individual |
| Full Name | KIMBERLY VITACCO |
| Practice Address |
43 Catherine St Lynbrook NY 11563-1230 |
| Practice Telephone | 5162369950 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | NY | Other Service Providers |
| Street Address |
43 CATHERINE ST |
| City | LYNBROOK |
| State | NY |
| Zip Code | 11563-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392072 | Anisha O Jenkins | Social Worker | 33 Allen Street, Lynbrook, NY 11563 | 2019-08-19 |
| 1093377327 | Ivan Karl Levenson | Occupational Therapist | Sunrise of Lynbrook, 53 Frankling Ave, N Lynbrook, NY 11563 | 2019-07-08 |
| 1124583125 | Maria Theresa Fasano | Speech-Language Pathologist | 111 Atlantic Avenue Lynbrook School District, Lynbrook, NY 11563 | 2019-02-04 |
| 1720561509 | Marianne Muldoon | Social Worker | 326 Vincent Avenue, Lynbrook, NY 11563 | 2018-09-08 |
| 1134659972 | Jaclyn Gonsch | Specialist | 136 Stuart Street, Lynbrook, NY 11563 | 2017-06-14 |
| 1497294797 | Ryan James Doupe | Counselor | 42 Fowler Ave, Lynbrook, NY 11563 | 2017-02-20 |
| 1902261647 | Allegra Grace D'alo | Social Worker | 90 Driving Park Ave, Lynbrook, NY 11563 | 2015-12-23 |
| 1699106039 | Elizabeth Gaudet Physical Therapy, P.l.l.c. | Physical Therapist | 34 Whittier Street, Lynbrook, NY 11563 | 2013-12-11 |
| 1427496439 | Jennifer Breen | Psychologist | 303 Merrick Rd Ste 302, Lynbrook, NY 11563 | 2013-06-12 |
| 1588000640 | Kelly Patrice Gallagher | Speech-Language Pathologist | 40-20 235th St, Douglaston, NY 11563 | 2013-05-16 |
| Find all providers in zip 11563 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376103291 | Michel Valencia Cabral-martin | Specialist | 14 Mildred Pl, Lynbrook, NY 11563-4218 | 2019-06-13 |
| 1932672730 | Laura Rosenfeld | Specialist | 22 Kowall Pl, Lynbrook, NY 11563-1427 | 2019-01-04 |
| 1134659972 | Jaclyn Gonsch | Specialist | 136 Stuart Street, Lynbrook, NY 11563 | 2017-06-14 |
| 1619323672 | Kah Mun Ling | Specialist | 108 Piccadilly Dwns, Lynbrook, NY 11563-3114 | 2016-05-09 |
| 1639524630 | Jill Seltzer | Specialist | 24 Farnum St, Lynbrook, NY 11563-3921 | 2016-04-27 |
| 1780055871 | Alexander Field Richard | Specialist | 1 Lester Ave, Lynbrook, NY 11563-1424 | 2015-10-14 |
| 1982075206 | Christine O'connell | Specialist | 225 Merrick Road, Lynbrook, NY 11563-2519 | 2015-10-13 |
| 1831580174 | Catherine Stefaniw | Specialist | 48 2nd St, Lynbrook, NY 11563-4142 | 2015-02-09 |
| 1417355454 | Tina Johnson | Specialist | 4 Windsor Pl, Lynbrook, NY 11563-3724 | 2014-12-08 |
| 1346643178 | Nicole Schiavone | Specialist | 87 Spencer Ave, Lynbrook, NY 11563-3424 | 2014-10-07 |
| Find all providers in LYNBROOK | ||||
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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.