MICHEAL CANNIZZARO (NPI# 1588673792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588673792 |
| Entity Type | Individual |
| Full Name | MICHEAL CANNIZZARO |
| Credential | M.D |
| Practice Address |
645 10th Ave New York NY 10036-2904 |
| Practice Telephone | 2122654500 |
| Practice Fax Number | 2122656565 |
| Mailing Telephone | 2122654500 |
| Mailing Fax Number | 2122656565 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 190322 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
645 10TH AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10036-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215978960 | Ryan Chelsea Clinton Community Health Center | Clinic/Center | 645 10th Ave, New York, NY 10036 | 2006-06-10 |
| 1194349332 | Kanesha Althea Thom | Licensed Practical Nurse | 645 10th Ave, New York, NY 10036-2904 | 2020-06-03 |
| 1770107211 | Yuhan Wu | Licensed Practical Nurse | 645 10th Ave, New York, NY 10036-2904 | 2020-06-01 |
| 1679197107 | Jennifer Diane Bryant | Licensed Practical Nurse | 645 10th Ave, New York, NY 10036-2904 | 2020-06-01 |
| 1124675061 | Ysaret Martinez | Registered Nurse | 645 10th Ave, New York, NY 10036-2904 | 2019-08-26 |
| 1023677267 | Yekaterina Chernakova | Registered Nurse | 645 10th Ave, New York, NY 10036-2904 | 2019-06-11 |
| 1053874453 | Sara Sansone | Registered Nurse | 645 10th Ave, New York, NY 10036-2904 | 2019-04-11 |
| 1073014395 | Sabrina Ann Saucier | Social Worker | 645 10th Ave, New York, NY 10036-2904 | 2018-02-22 |
| 1265951669 | Patricia Lin Shu | Registered Nurse | 645 10th Ave, New York, NY 10036-2904 | 2017-09-18 |
| 1528587896 | Christina Pefanis | Registered Nurse | 645 10th Ave, New York, NY 10036-2904 | 2017-09-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272999 | Caroline Edmunds Purdy | Acupuncturist | 19 West 45th Street Suite 501, New York, NY 10036 | 2020-10-09 |
| 1720612724 | Denisa Dyli | Registered Nurse | 305 West 44th Street, New York, NY 10036 | 2020-02-27 |
| 1023651148 | Trang Bui | Pharmacist | 687 9th Avenue, New York, NY 10036 | 2019-10-21 |
| 1306495361 | Desiree Polonis | Social Worker | 19 W. 45th Street, Suite 705, New York, NY 10036 | 2019-09-11 |
| 1902462575 | Darren Louie | Acupuncturist | 19 W 45th Street, Suite 501, New York, NY 10036 | 2019-05-19 |
| 1477019958 | Esoterra Acupuncture PC | Massage Therapist | 19 W 45 St, Ste 501, New York, NY 10036 | 2019-02-20 |
| 1679045009 | Novel Podiatry Pllc | Podiatrist | 28 West 44th Street, Ste 209, New York, NY 10036 | 2018-12-25 |
| 1699245274 | Anne Michelle Dearwater | Physical Therapist | 36 W44th Street Suite 403, New York, NY 10036 | 2018-11-27 |
| 1154805927 | Christine D'urso | Psychologist | 17-19 W. 45th Street, Suite 907, New York, NY 10036 | 2018-09-18 |
| 1861990335 | Therapath Partners, LLC | Clinical Medical Laboratory | 545 W 45th St Fl 7, New York, NY 10036 | 2018-01-30 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1972112456 | Daniel William Fitzgerald | Internal Medicine | 402 E 67th St Fl 2, New York, NY 10065-6304 | 2020-07-30 |
| 1346858222 | Sowell Health PC | Internal Medicine | 308 E 38th St Ste 200, New York, NY 10016-9825 | 2020-07-16 |
| 1417574062 | Bob Yeon Shim | Internal Medicine | 330 W 145th St Apt 605, New York, NY 10039-3095 | 2020-06-30 |
| 1891319810 | Careathome Medical Practice, PC | Internal Medicine | 287 Park Ave S Fl 3, New York, NY 10010-4573 | 2020-06-05 |
| 1487276473 | Alinea Medical Associates PC | Internal Medicine | 205 E 69th St Apt 1b, New York, NY 10021-5437 | 2020-05-12 |
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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.