SVETLANA FAKTOROVICH (NPI# 1457790404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457790404 |
| Entity Type | Individual |
| Full Name | SVETLANA FAKTOROVICH |
| Practice Address |
130 E 77th St New York NY 10075 |
| Mailing Address |
130 E 77th St New York NY 10075-1851 |
| Practice Telephone | 2124346400 |
| Mailing Telephone | 1224346400 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
285571 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
130 E 77TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104828805 | Srino Bharam | Orthopaedic Surgery | 130 E 77th St, Black Hall 8th Floor, New York, NY 10075-1851 | 2005-08-11 |
| 1881212850 | Stephanie Ortiz | Nurse Practitioner | 130 E 77th St, 4th Floor Black Hall, New York, NY 10075 | 2020-07-07 |
| 1841828860 | Jacqueline Duarte Ramos | Student in an Organized Health Care Education/Training Program | 130 E 77th St, New York, NY 10075-1851 | 2020-03-27 |
| 1558998088 | Katherine Carsky | Student in an Organized Health Care Education/Training Program | 130 E 77th St, New York, NY 10075-1851 | 2020-03-25 |
| 1558907998 | Benjamin Wai Yue Lo | Neurological Surgery | 130 E 77th St, New York, NY 10075-1851 | 2019-11-20 |
| 1437708302 | Katherine Postel | Nurse Practitioner | 130 E 77th St, New York, NY 10075-1851 | 2019-09-04 |
| 1447802533 | Deepak Khatri | Neurological Surgery | 130 E 77th St, 3 Black Hall, New York, NY 10075-1851 | 2019-07-10 |
| 1881155133 | Jermyn Addy | Student in an Organized Health Care Education/Training Program | 130 E 77th St, New York, NY 10075-1851 | 2019-03-28 |
| 1326510884 | Catherine Melissa Claro | Nurse Practitioner | 130 E 77th St, New York, NY 10075-1851 | 2018-12-21 |
| 1104306844 | Alexandra Cayla Nussbaum | Nurse Practitioner | 130 E 77th St, New York, NY 10075-1851 | 2018-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
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| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457760977 | Luis Grodnitzky | Psychiatry & Neurology | 300 E 54th St Apt 4j, New York, NY 10022-5019 | 2014-08-08 |
| 1346661808 | Comprehensive Diagnostics and Imaging PC | Psychiatry & Neurology | 200 East 36 Street, 11c, New York, NY 10016 | 2013-12-30 |
| 1952601668 | Ideal Idtf Services of New York, Inc. | Psychiatry & Neurology | 4394 Broadway, New York, NY 10040-4002 | 2010-10-27 |
| 1538331749 | Autonomic Neurology, Pllc | Psychiatry & Neurology | 2 Charlton St, 15b, New York, NY 10014-4909 | 2008-03-27 |
| 1831151281 | Alcibiades J. Rodriguez | Psychiatry & Neurology | 724 2nd Ave, New York, NY 10016-2710 | 2006-04-03 |
| 1992703391 | Andrei Carasca | Psychiatry & Neurology | 875 5th Ave, New York, NY 10065-4952 | 2005-07-08 |
| 1285998393 | Daniel C. Javitt | Psychiatry & Neurology | 1051 Riverside Dr, Unit 21, New York, NY 10032-1007 | 2012-07-03 |
| 1255635652 | Ling O. Cheng, M.d., P.C. | Psychiatry & Neurology | 198 Canal St, Suite 303, New York, NY 10013-4531 | 2010-12-29 |
| 1306169487 | Philippe Gerard Douyon | Psychiatry & Neurology | 462 1st Ave, Suite Nbv 7w11, New York, NY 10016-9196 | 2010-03-03 |
| 1467789107 | Patricia Cristine Dugan | Psychiatry & Neurology | 223 E 34th St, New York, NY 10016-4852 | 2009-11-16 |
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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.