CORRECTIONAL DENTAL ASSOCIATES OF NEW YORK (NPI# 1609210178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609210178 |
| Entity Type | Organization |
| Organization Name | CORRECTIONAL DENTAL ASSOCIATES OF NEW YORK |
| Practice Address |
4904 19th Ave Astoria NY 11105-1002 |
| Practice Telephone | 3477747800 |
| Practice Fax Number | 7187777820 |
| Mailing Telephone | 3477747800 |
| Mailing Fax Number | 7187777820 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |
| Authorized Official Name | DR. LESLIE AMBROSE HAYLING JR. (PRESIDENT) |
| Authorized Official Telephone | 3477747800 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
051827-1 | NY | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CORRECTIONAL DENTAL ASSOCIATES OF NEW YORK, P.C. | 80 State Street, Albany, Ny 12207 |
| Street Address |
4904 19TH AVE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11105-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992723753 | Aung Khine Oo | Internal Medicine | 4904 19th Ave, Astoria, NY 11105-1002 | 2006-07-18 |
| 1689067019 | Christopher Wayne Johnson | Counselor | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-03-10 |
| 1437547957 | Brian Michael Burns | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-01-06 |
| 1700274305 | James Patrick Cassar | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-01-05 |
| 1770980252 | Corizon | Community/Behavioral Health | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-11-26 |
| 1609276534 | Adem Martin Geraghty | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-08-28 |
| 1477973519 | Christine Edmondson | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-04-16 |
| 1356778591 | Christopher Wayne Chan | Pharmacist | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-10-02 |
| 1356783476 | Anna T Richards | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-07-18 |
| 1669817938 | Correctional Medical Associates of Newyork, P.C. | Pharmacy | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639640345 | Bridget Mackin | Counselor | 2263 41st Street, Apt 1f, Astoria, NY 11105 | 2018-12-07 |
| 1487154597 | Five Star Assessment Corp | Specialist/Technologist | 2135 47 Street, Suite 2, Astoria, NY 11105 | 2018-02-15 |
| 1154843076 | Stefania Anne Vendome | Physician Assistant | 23-38 28th Street, Astoria, NY 11105 | 2017-07-12 |
| 1164942330 | Kara Lorraine Gerbino | Registered Nurse | 2325 31st St Ste 301, Astoria, NY 11105 | 2017-06-20 |
| 1669908828 | Gerlie H Estores | Licensed Practical Nurse | 2257 23rd Street, 2nd Floor, Astoria, NY 11105 | 2017-05-10 |
| 1558809665 | Tasrina Khan | Behavioral Analyst | 24-13 23rd Ave, Astoria, NY 11105 | 2017-02-09 |
| 1356892988 | Maria Tsoukias | Behavioral Analyst | 21-21 24th Street, Astoria, NY 11105 | 2016-10-19 |
| 1356705602 | Ahmed Y Nasser | Pharmacist | 21 09 A 31st Street, Pharmacare Plus Pharmacy, Astoria, NY 11105 | 2016-04-12 |
| 1194185363 | Sisters of The Good Shepherd | Social Worker | 25-30 21 Avenue, Astoria, NY 11105 | 2016-03-02 |
| 1154741551 | Latifat Okeke | Nurse Practitioner | 49-04 19th Ave, Rikers Island Correctional Facility, Astoria, NY 11105 | 2014-04-24 |
| Find all providers in zip 11105 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689817 | Vincent Kirse | Dentist | 940 Astor St Ste C, Astoria, OR 97103-4213 | 2018-08-20 |
| 1730675273 | Astoria Dental Broadway | Dentist | 31-72 31st St, Suite #1, Astoria, NY 11106 | 2018-07-09 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1639561152 | Wajih Chammae | Dentist | 3242 41st St Apt 1b, Astoria, NY 11103-3517 | 2015-02-19 |
| 1215334644 | Jovanka Zivkovic | Dentist | 3013 Steinway St, Astoria, NY 11103-3456 | 2014-12-01 |
| 1457760597 | Gary Tong | Dentist | 32-31 43rd St, Astoria, NY 11103-2703 | 2014-08-02 |
| 1679836100 | Adrian Weifung Lau | Dentist | 3172 31st St, Astoria, NY 11106-2581 | 2012-06-19 |
| 1568728889 | Klemp Family Dentistry | Dentist | 1006 W Marine Dr, Astoria, OR 97103-5826 | 2012-04-11 |
| 1497031157 | Hyo-jin Kim | Dentist | 3274 33rd St Apt 1f, Astoria, NY 11106-2123 | 2011-10-26 |
| 1891073029 | Astoria Dental Town PC | Dentist | 3060 Steinway St Fl 2, Astoria, NY 11103-3854 | 2011-07-21 |
| Find all providers in ASTORIA | ||||
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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.