FABIO COLLARELLI (NPI# 1548206105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548206105 |
| Entity Type | Individual |
| Full Name | FABIO COLLARELLI |
| Credential | RPA-C |
| Practice Address |
30 Hatfield Ln Suite 201 Goshen NY 10924-6766 |
| Practice Telephone | 8452943446 |
| Practice Fax Number | 8452944171 |
| Mailing Telephone | 8452943446 |
| Mailing Fax Number | 8452944171 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 008143 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02280486 | 05 |
| Street Address |
30 HATFIELD LN SUITE 201 |
| City | GOSHEN |
| State | NY |
| Zip Code | 10924-6766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174511992 | Rachel Colvin | Internal Medicine | 30 Hatfield Ln, Suite 208, Goshen, NY 10924-6766 | 2005-10-06 |
| 1154874139 | Madeleine Banulski Ziegler | Registered Nurse | 30 Hatfield Ln, Suite 101, Goshen, NY 10924 | 2016-07-26 |
| 1598130403 | Harriman Partners LLC | Clinic/Center | 30 Hatfield Ln, Bldg 2, Goshen, NY 10924-6783 | 2015-12-03 |
| 1548630494 | Michelle Dunn | Occupational Therapist | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2015-10-05 |
| 1518363530 | Julie Benzenberg | Physical Therapist | 30 Hatfield Ln, Suite 201, Goshen, NY 10924-6766 | 2014-11-18 |
| 1659702876 | Jessica Lee Altland | Dietitian, Registered | 30 Hatfield Ln, Suite 107, Goshen, NY 10924-6766 | 2013-12-13 |
| 1255676672 | Phillip Bautista | Physical Therapy Assistant | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2012-12-11 |
| 1093091134 | Gregory Redding | Physical Therapist | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2011-11-02 |
| 1619251006 | Shane Henderson | Physical Therapist | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2011-10-04 |
| 1356640056 | Gloria Verdino | Dietitian, Registered | 30 Hatfield Ln, Suite 109, Goshen, NY 10924-6766 | 2011-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
| 1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| Find all providers in zip 10924 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619590171 | Leah Chrsitine Shetler | Physician Assistant | 65704 Harwood Dr, Goshen, IN 46526-8998 | 2020-05-19 |
| 1700946746 | Erica P Celestine | Physician Assistant | 7 Coates Dr, Suite 4, Goshen, NY 10924-6748 | 2006-12-11 |
| 1780775486 | Benita Hamilton | Physician Assistant | 53 Gibson Rd, Goshen, NY 10924-6709 | 2006-09-27 |
| 1144885013 | Devon Lee Perkins | Physician Assistant | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-05-07 |
| 1043551401 | Kristina M Jackowiak | Physician Assistant | 2824 Elkhart Rd, Goshen, IN 46526-1014 | 2013-03-11 |
| 1760787709 | Nicole K Kelly | Physician Assistant | 30 Hatfield Ln, Ste 109, Goshen, NY 10924-6766 | 2011-01-24 |
| 1124258124 | Casilda Cabral Chenier | Physician Assistant | 1811 Charlton Ct, Goshen, IN 46526-6464 | 2009-07-24 |
| 1639126162 | Kerry Gomulka | Physician Assistant | 30 Hatfield Ln, Suite 101, Goshen, NY 10924-6766 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
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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.