DR. JEREMY MICHAEL LIFF


Address: 2200 Northern Blvd, Suite 207, Greenvale, NY 11548
Phone: 7186301270

DR. JEREMY MICHAEL LIFF (NPI# 1659638708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659638708
Entity Type Individual
Full Name DR. JEREMY MICHAEL LIFF
Credential M.D.
Practice Address 2200 Northern Blvd
Suite 207
Greenvale
NY 11548
Mailing Address 43 Westminster Ave
Bergenfield
NJ 07621-3913
Practice Telephone 7186301270
Mailing Telephone 2013871957
Enumeration Date 2012-04-13
Last Update Date 2018-08-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 25MA09113800 NJ Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 259539 NY Allopathic & Osteopathic Physicians
N 2084V0102X Psychiatry & Neurology
Specialization: Vascular Neurology
25MA09113800 NJ Allopathic & Osteopathic Physicians
Y 2084V0102X Psychiatry & Neurology
Specialization: Vascular Neurology
259539-1 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 2200 NORTHERN BLVD
SUITE 207
City GREENVALE
State NY
Zip Code 11548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750359444 John A. Venditto Internal Medicine 2200 Northern Blvd, Suite 132, Greenvale, NY 11548-1220 2006-03-09
1447887039 Nicholas Gee Tong Student in an Organized Health Care Education/Training Program 2200 Northern Blvd, Greenvale, NY 11548-1219 2020-03-24
1346705043 Christine Persaud Nurse Practitioner 2200 Northern Blvd, Greenvale, NY 11548-1219 2019-02-06
1982172490 Jennifer Lopiano Social Worker 2200 Northern Blvd, Greenvale, NY 11548-1219 2018-11-02
1619442381 Jillian Danzi Nurse Practitioner 2200 Northern Blvd, Greenvale, NY 11548-1219 2018-10-09
1942709043 Hilary Anne Greenblatt Nurse Practitioner 2200 Northern Blvd, Greenvale, NY 11548-1219 2018-02-05
1972018166 Kaitlyn Mary French Registered Nurse 2200 Northern Blvd, Greenvale, NY 11548-1219 2017-12-10
1154848026 Keri Lynn Messina Nurse Practitioner 2200 Northern Blvd, Greenvale, NY 11548-1219 2017-08-23
1811432982 Ann Way Nurse Practitioner 2200 Northern Blvd, The Cancer Institute, Greenvale, NY 11548-1219 2016-12-28
1760931349 Sf Nassau Asc LLC Clinic/Center 2200 Northern Blvd, Greenvale, NY 11548-1219 2016-09-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477075299 Colorectal Surgery Services Pllc Colon & Rectal Surgery 2200 Northern Blvd Ste 210, Greenvale, NY 11548 2017-07-13
1164806535 Catheryne Leon Registered Nurse 2200 Northern Blvd Ste 133, Greenvale, NY 11548 2015-07-16
1871888503 George Cheriyan Neuromusculoskeletal Medicine & OMM 500 Northern Boulevard, Greenvale, NY 11548 2011-06-10
1144414079 Suzy Young Choi Registered Nurse 12 Wellington Road, Greenvale, NY 11548 2007-09-04
1790983450 Aleksander Shalshin Internal Medicine 9 Cedar Street, Greenvale, NY 11548 2007-07-04
1609394022 Gabriella Paiotti Speech-Language Pathologist 720 Northern Boulevard, Brookville, NY 11548 2017-09-06
1063937142 City Medical of Upper East Side, Pllc Clinic/Center 44 Glen Cove Rd, Greenvale, NY 11548-1003 2017-08-09
1316041346 Lawrence Alan Popkin Dentist 73 Glen Cove Rd, Greenvale, NY 11548-1007 2006-09-11
1760687800 Shannon Elizabeth Cole Dentist 73 Glen Cove Rd, Greenvale, NY 11548-1007 2007-06-19
1376694729 Donald Jay Binderow Dentist 73 Glen Cove Rd, Greenvale, NY 11548-1007 2007-01-14
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Taxonomy Information

Taxonomy Code 2084V0102X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Vascular Neurology

Taxonomy Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861812083 Weijun Jin Psychiatry & Neurology 948 48th St # R-232, Brooklyn, NY 11219-2918 2014-04-28
1174899504 Amit Kandel Psychiatry & Neurology 100 High St # E2, Department of Neurology, Buffalo, NY 14203-1126 2012-03-29
1194036996 Mackenzie Paige Lerario Psychiatry & Neurology 525 East 68th Street, F-610, New York, NY 10065 2010-06-25
1518133750 Sarah Mintu Cherian Psychiatry & Neurology 200 Old Country Rd Ste 370, Mineola, NY 11501-4264 2008-05-07
1225233141 David T Parrella Psychiatry & Neurology 211 61 Street, 1st Floor, Brooklyn, NY 11220 2007-06-20
1760549075 Antenor Pierre Vilceus Psychiatry & Neurology 550 W Merrick Rd Ste 4, Valley Stream, NY 11580-5101 2007-01-03
1659437473 Steven Henry Rudolph Psychiatry & Neurology 3131 Kings Hwy Ste 2-06, Brooklyn, NY 11234-2644 2006-12-28
1871555797 Elizabeth J Wirkowski Psychiatry & Neurology New York Spine & Brain Surgery Hsc T12 Rm 080, Stony Brook, NY 11794-4235 2006-04-05
1003295163 Alison Caruana Psychiatry & Neurology 181 Bellemeade Rd, East Setauket, NY 11733-3495 2015-05-22
1033505102 Kamil Stefanowski Psychiatry & Neurology 101 Nicolls Rd, Stony Brook, NY 11794-0001 2015-04-15
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Competitor

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City GREENVALE
Zip Code 11548

Improve Information

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Dataset Information

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.

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