DR. DEBRA HOOLAHAN (NPI# 1720523533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720523533 |
| Entity Type | Individual |
| Full Name | DR. DEBRA HOOLAHAN |
| Credential | D.C. |
| Practice Address |
95 Arlington Rd Lake Ronkonkoma NY 11779-1641 |
| Mailing Address |
Po Box 1493 Lake Grove NY 11755-0893 |
| Practice Telephone | 6316728064 |
| Mailing Telephone | 6316728064 |
| 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 | 111N00000X | Chiropractor | X007215-1 | NY | Chiropractic Providers |
| Street Address |
95 ARLINGTON RD |
| City | LAKE RONKONKOMA |
| State | NY |
| Zip Code | 11779-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205987393 | Misti Lee Millar-calderon | Chiropractor | 4974 Express Dr S, Lake Ronkonkoma, NY 11779-5544 | 2007-01-15 |
| 1639177918 | Ronald R Bernardini | Chiropractor | 201 Portion Rd, Lake Ronkonkoma, NY 11779-2341 | 2005-07-12 |
| 1972803104 | Lake Chiropractic, Pllc. | Chiropractor | 201 Portion Rd, Suite A, Lake Ronkonkoma, NY 11779-4172 | 2010-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980959 | Jay Rosenbluth | Chiropractor | 501 5th Ave Rm 809, New York, NY 10017-7809 | 2020-10-20 |
| 1457959223 | Howard Joseph Baron | Chiropractor | 360 Shore Rd Apt 6b, Long Beach, NY 11561-4374 | 2020-10-14 |
| 1003414079 | Brett John Poniros | Chiropractor | 220 Tompkins Ave, Pleasantville, NY 10570-3146 | 2020-10-13 |
| 1528675923 | Dominic Estevez | Chiropractor | 361 N Broadway, Lindenhurst, NY 11757-3302 | 2020-09-29 |
| 1457963969 | Mariella Townsend | Chiropractor | 220 S Service Rd Ste 12, Roslyn Heights, NY 11577-2131 | 2020-08-18 |
| 1235740275 | Andrea Hope Levin | Chiropractor | 280 Beaumont St, Brooklyn, NY 11235-4121 | 2020-08-13 |
| 1326657354 | David Gurpegui | Chiropractor | 13263 Maple Ave Apt 2r, Flushing, NY 11355-4417 | 2020-07-27 |
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1700404027 | Amy J Lin | Chiropractor | 8225 Queens Blvd Ste 1a, Elmhurst, NY 11373-4242 | 2020-07-13 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | LAKE RONKONKOMA |
| Zip Code | 11779 |
Please comment or provide details below to improve the information on DR. DEBRA HOOLAHAN.
| 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.