MR. DEMETRIO C CABRERA (NPI# 1609958321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609958321 |
| Entity Type | Individual |
| Full Name | MR. DEMETRIO C CABRERA |
| Credential | P.T. |
| Practice Address |
1766 Sunrise Hwy Bay Shore NY 11706-6010 |
| Mailing Address |
112 Orchid Dr Mastic Beach NY 11951-5002 |
| Practice Telephone | 6316664600 |
| Practice Fax Number | 6316664605 |
| Mailing Telephone | 6316664600 |
| Mailing Fax Number | 6316664605 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 022429-1 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 2582658 | 05 |
| Street Address |
1766 SUNRISE HWY |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972559011 | Ramiro Pinto | Chiropractor | 1766 Sunrise Hwy, Bay Shore, NY 11706-6010 | 2006-05-26 |
| 1083925531 | H Avella Pmr Medical PC | Physical Medicine & Rehabilitation | 1766 Sunrise Hwy, Bay Shore, NY 11706-6042 | 2010-06-30 |
| 1922323351 | Island Regional Physical Therapy Pllc | Physical Therapist | 1766 Sunrise Hwy, Bay Shore, NY 11706-6042 | 2010-03-29 |
| 1568651149 | 1766 Professional Chiropractic, Pllc. | Exclusive Provider Organization | 1766 Sunrise Hwy, Bay Shore, NY 11706-6010 | 2007-10-18 |
| 1861556318 | Alex Bendanillo | Physical Therapist | 1766 Sunrise Hwy, Bay Shore, NY 11706-6042 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184287724 | Kristin A. Mccrossin | Specialist | 1603 N Gardiner Dr, Bay Shore, NY 11706-1411 | 2019-04-18 |
| 1063967198 | Christina Nereida Lopez | Specialist | 107 Rhode Island Ave, Bay Shore, NY 11706-3210 | 2016-08-18 |
| 1336598838 | Wendoly Z Barrezueta | Specialist | 1097 Thompson Dr, Bay Shore, NY 11706-6214 | 2016-06-07 |
| 1073961538 | Michael Grant | Specialist | 19 Pinebrook Pl, Bay Shore, NY 11706-4417 | 2016-05-25 |
| 1306216379 | Jennifer Rivera | Specialist | 94 Smith Ave, Bay Shore, NY 11706-7380 | 2015-10-02 |
| 1407224371 | Linette Navarro-perez | Specialist | 1429 Lombardy Blvd, Bay Shore, NY 11706-4045 | 2015-09-09 |
| 1306235437 | Jamie Wheeler | Specialist | 1430 Lombardy Blvd, Bay Shore, NY 11706-4037 | 2015-01-13 |
| 1932505112 | Pamela Perez | Specialist | 1348 Gardiner Dr, Bay Shore, NY 11706-3730 | 2014-11-14 |
| 1063824555 | Elizabeth Moreira | Specialist | 72 Greenwood Rd, Bay Shore, NY 11706-5030 | 2014-06-02 |
| 1073945580 | Karissa Lynn Koerner | Specialist | 179 Spur Dr S, Bay Shore, NY 11706-3908 | 2013-08-07 |
| Find all providers in BAY SHORE | ||||
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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.