MR. CARL F CANNATA (NPI# 1548229537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548229537 |
| Entity Type | Individual |
| Full Name | MR. CARL F CANNATA |
| Credential | RPA-C |
| Practice Address |
79 Middleville Rd Northport NY 11768-2200 |
| Mailing Address |
41 Cabot Rd W Massapequa NY 11758-8026 |
| Practice Telephone | 6312614400 |
| Practice Fax Number | 6315445308 |
| Mailing Telephone | 5167995255 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
000282-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
79 MIDDLEVILLE RD |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958471 | David Wayne Gately | Psychologist | 79 Middleville Rd, Va Medical Center, Psychology Service (116b), Northport, NY 11768-2200 | 2005-08-02 |
| 1497356174 | Cynthia Abigail Serrano-colon | Nurse Practitioner | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-11-08 |
| 1225636020 | Jessie Ryan Poznack | Pathology | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-10-14 |
| 1356958094 | Alex Myunghwan Shin | Optometrist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-09-27 |
| 1407460470 | Kimberly Ann Smith | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-09-07 |
| 1790398634 | Simrit Kaur Virk | Optometrist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-08-29 |
| 1700499670 | Christine Palathinkal | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-08-28 |
| 1235748252 | Valerie Marie Campos | Registered Nurse | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-07-27 |
| 1124636634 | Da Som Kim | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-07-21 |
| 1518584341 | Irene Sofia Koutsidis | Social Worker | 79 Middleville Rd, Northport, NY 11768-2296 | 2020-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881841500 | April L Coleman | Physician Assistant | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2008-08-25 |
| 1205925906 | Kenneth Tinsley | Physician Assistant | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-10-12 |
| 1528006970 | Selina Greathouse Woolverton | Physician Assistant | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434727 | Julia Loren Bartsch | Physician Assistant | 11791 Genesee St, Alden, NY 14004-9713 | 2020-10-16 |
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1336768647 | Abul Sarker | Physician Assistant | 2 Sagamore Ave, Suffern, NY 10901-7412 | 2020-04-16 |
| 1689200412 | Margaret Ann Sullivan | Physician Assistant | 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 | 2020-03-12 |
| 1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1578114377 | Matthew Newmark Eisenstein | Physician Assistant | 3260 43rd St Apt 2r, Astoria, NY 11103-2745 | 2019-09-23 |
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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.