NORTHEAST SURGICAL SPECIALISTS, PLLC (NPI# 1437266699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437266699 |
| Entity Type | Organization |
| Organization Name | NORTHEAST SURGICAL SPECIALISTS, PLLC |
| Practice Address |
1 Broad Street Plz Glens Falls NY 12801-4390 |
| Practice Telephone | 5187939424 |
| Practice Fax Number | 5187939441 |
| Mailing Telephone | 5187939424 |
| Mailing Fax Number | 5187939441 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LAURA A BOUYEA (OFFICE MANAGER) |
| Authorized Official Telephone | 5187939424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NORTHEAST SURGICAL SPECIALISTS, PLLC | 4 Fairfield Drive, Queensbury, Ny 12804 |
| Street Address |
1 BROAD STREET PLZ |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801-4390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043542483 | Sleep Network of New York Inc. | Clinical Medical Laboratory | 1 Broad Street Plz, Glens Falls, NY 12801-4390 | 2010-02-10 |
| 1366771255 | Sleep Medicine Consultants | Internal Medicine | 1 Broad Street Plz, 125 Broad Street, Glens Falls, NY 12801-4390 | 2009-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| 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 |
|---|---|---|---|---|
| 1548662554 | David Thompson | Specialist | 20 Garrison Rd, Glens Falls, NY 12804-2036 | 2014-09-22 |
| 1326343377 | Consuelo Davis | Specialist | 88 Ridge St Rm 109, Glens Falls, NY 12801-3621 | 2011-01-24 |
| 1871737353 | Danielle T Robillard | Specialist | 56 Sherman Ave, Glens Falls, NY 12801-2753 | 2009-04-28 |
| 1093903528 | Gretchen E Porier | Specialist | 12 Morgan Ave, A, Glens Falls, NY 12801-3214 | 2007-10-10 |
| 1043268584 | William Charles Brender | Specialist | 245 Sanford St, Glens Falls, NY 12801-2427 | 2006-05-05 |
| 1225035371 | Edward George Gyukeri Jr. | Specialist | 100 Park St, Glens Falls, NY 12801-4413 | 2005-07-05 |
| 1891395687 | Danielle A Volks | Specialist | 413 Bay Rd, Glens Falls, NY 12804-1408 | 2020-10-29 |
| 1376051995 | Kristy Lee Brennan | Specialist | 13 Locust St, Glens Falls, NY 12801-4544 | 2018-01-17 |
| 1528467602 | Michelle Mabie | Specialist | 13 Locust Street, Glens Falls, NY 12801 | 2014-08-14 |
| 1316200033 | Tracey Merzig | Specialist | 13 Locust Street, Glens Falls, NY 12801 | 2012-06-18 |
| Find all providers in GLENS FALLS | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
Please comment or provide details below to improve the information on NORTHEAST SURGICAL SPECIALISTS, PLLC.
| 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.