DAREENA D MIRROW (NPI# 1710156708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710156708 |
| Entity Type | Individual |
| Full Name | DAREENA D MIRROW |
| Credential | PA |
| Practice Address |
2001 5th Ave Suite 110 Troy NY 12180-3340 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5186871960 |
| Practice Fax Number | 5186871970 |
| Mailing Telephone | 5185911121 |
| Mailing Fax Number | 5186494094 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2016-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003445 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2001 5TH AVE SUITE 110 |
| City | TROY |
| State | NY |
| Zip Code | 12180-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528034105 | Stephanie Kugler | Dietitian, Registered | 2001 5th Ave, 3rd Floor, Troy, NY 12180-3340 | 2006-02-24 |
| 1811435217 | Laurie Lavin | Nurse Practitioner | 2001 5th Ave, Troy, NY 12180-3482 | 2017-02-06 |
| 1144762725 | Shirley Hernandez | Social Worker | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2016-11-14 |
| 1578915765 | Heather Harris | Nurse Practitioner | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2016-07-12 |
| 1689045304 | Altanah Miriam Corelli | Dietitian, Registered | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2015-10-08 |
| 1942676218 | Leah Esther- Simone Hallow | Psychologist | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2015-08-20 |
| 1114340510 | Upstate Physician Services, PC | Psychologist | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2014-01-22 |
| 1548526726 | Capital Region Otolaryngology Head & Neck Group | Specialist | 2001 5th Ave, Troy, NY 12180 | 2012-04-02 |
| 1487942975 | Stephanie Willoughby | Nurse Practitioner | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2011-07-18 |
| 1053540351 | Mustafain Y Meghani | Internal Medicine | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2009-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902356454 | Elaina Diclemente | Physician Assistant | 44199 Dequindre Rd Ste 222, Troy, MI 48085-1128 | 2016-10-08 |
| 1710338090 | Megan S Hakim | Physician Assistant | 4600 Investment Dr Ste 150, Troy, MI 48098-6376 | 2016-06-28 |
| 1811390560 | Anika Webb | Physician Assistant | 160 South Railroad Street, Station Square, Troy, PA 16947-1499 | 2014-10-08 |
| 1518099340 | Lisa Denise Sowels | Physician Assistant | 306 Town Center Dr, Troy, MI 48084-1742 | 2007-03-09 |
| 1487792867 | Pamela Sutherly | Physician Assistant | 700 S Stanfield Rd Ste A, Troy, OH 45373 | 2007-02-01 |
| 1164492229 | Leigh A. Dobbs | Physician Assistant | 264 W. Maple Rd., Suite #200, Troy, MI 48084 | 2006-01-23 |
| 1538767983 | Virginia Clare Fielhauer | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-16 |
| 1902386493 | Sara F Ruch | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2018-08-15 |
| 1376991539 | Kelsey Hilley | Physician Assistant | 2215 Burdett Ave, Samaritan Hospital, Troy, NY 12180-2466 | 2016-05-28 |
| 1487035275 | Lauren Naborczyk | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2015-06-17 |
| Find all providers in TROY | ||||
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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.