MISS STACY-ANN GRENAN (NPI# 1679018444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679018444 |
| Entity Type | Individual |
| Full Name | MISS STACY-ANN GRENAN |
| Credential | NP |
| Practice Address |
100 Port Washington Blvd Roslyn NY 11576-1347 |
| Practice Telephone | 5165626000 |
| Mailing Telephone | 5165626000 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
307898 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 PORT WASHINGTON BLVD |
| City | ROSLYN |
| State | NY |
| Zip Code | 11576-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768624 | Jack Soterakis | Internal Medicine | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2005-05-23 |
| 1700499779 | Olivia Paige Omage | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-08-28 |
| 1871101006 | Mark Granados | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-07-14 |
| 1871110692 | Nicole Amanda Waxner | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-06-27 |
| 1710509062 | Allison L Chan | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-05-09 |
| 1730715269 | Sreeja Nair | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-03-16 |
| 1871127027 | Laura Grace Krukowski | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576 | 2020-02-26 |
| 1518591015 | Punam Patel | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-02-24 |
| 1306486196 | Brendan Heitz | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-01-09 |
| 1740829613 | Johanna Eve Schwartz | Social Worker | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2019-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075998 | Haley W Feit | Optometrist | 1085 Northern Blvd, Roslyn, NY 11576 | 2019-10-25 |
| 1346765187 | Fern Wendi Schanback | Counselor | 24 Mackay Way, Roslyn, NY 11576 | 2017-08-12 |
| 1932577574 | Soma Fit Physical Therapy Pllc | Physical Therapist | 55 Lumber Rd, Suite 105, Roslyn, NY 11576 | 2015-09-14 |
| 1679953699 | Linda D.r. Miller | Speech-Language Pathologist | 7 Woodland Road, Roslyn, NY 11576 | 2015-06-04 |
| 1629463450 | Angela Maria Taveras | Social Worker | 141 Old Northern Blvd, Rosalyn, NY 11576 | 2015-03-30 |
| 1043594922 | Robin Hananel | Speech-Language Pathologist | 29 The Oaks, Roslyn, NY 11576 | 2011-10-10 |
| 1073838207 | Lucille A Barker | Occupational Therapist | 1441old Northern Blvd, Roslyn, NY 11576 | 2010-03-31 |
| 1518100163 | Robert Eugene Goldberger | Surgery | 4 The Birches, Roslyn, NY 11576 | 2009-04-13 |
| 1336388461 | Sarah Lamattina | Counselor | 1441 Old Northern Boulevard, Roslyn, NY 11576 | 2009-02-12 |
| 1508001553 | Leslie Jane Brownstein | Speech-Language Pathologist | 174 Mimosa Drive, Roslyn, N.y 11576, New York City, NY 11576 | 2008-12-04 |
| Find all providers in zip 11576 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215432851 | Asha Phillips | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013415 | Carl Mark Cacciotti | Nurse Practitioner | 81 Sweetmilk Creek Rd, Troy, NY 12180-9100 | 2020-11-03 |
| 1356942957 | Violeta Izrailov | Nurse Practitioner | 7529 187th St, Fresh Meadows, NY 11366-1725 | 2020-11-02 |
| 1063028041 | Alanna Baldassarre | Nurse Practitioner | 1 Daywood Ct, East Northport, NY 11731-3446 | 2020-09-16 |
| 1316553399 | Jacqueline Abbatiello | Nurse Practitioner | 66 Wickey Ave, Westbury, NY 11590-2005 | 2020-09-16 |
| 1235760612 | Sumra Abbasi | Nurse Practitioner | 6 S Georgia St, Valley Stream, NY 11580-2309 | 2020-02-04 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1508412503 | Julie Marie Giles | Nurse Practitioner | 1415 Portland Ave Ste 200, Rochester, NY 14621-3022 | 2019-08-15 |
| 1952874604 | Alice M Carrington | Nurse Practitioner | 61 Syracuse St, Baldwinsville, NY 13027-2929 | 2019-01-05 |
| 1629597224 | Guerdy M Michel-loiseau | Nurse Practitioner | 90-01 Broadway, Elmhurst, NY 11373 | 2017-09-14 |
| 1396297354 | Ann-marie Campbell | Nurse Practitioner | 1292 E 93rd St, Brooklyn, NY 11236-4321 | 2016-10-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MISS STACY-ANN GRENAN.
| 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.