PEDRO ZUNIGA DOMIAN (NPI# 1750802740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750802740 |
| Entity Type | Individual |
| Full Name | PEDRO ZUNIGA DOMIAN |
| Credential | MD |
| Practice Address |
147 Lake St Newburgh NY 12550-5263 |
| Mailing Address |
2570 Route 9w Ste 10 Cornwall NY 12518-1370 |
| Practice Telephone | 8455638000 |
| Mailing Telephone | 8452203100 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 305494 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
147 LAKE ST |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-5263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301681 | Gbolagade O Babalola | Obstetrics & Gynecology | 147 Lake St, Newburgh, NY 12550-5263 | 2005-07-22 |
| 1780292037 | Mariana Dalecio Maeda | Optometrist | 147 Lake St, Newburgh, NY 12550-5263 | 2020-07-22 |
| 1669019675 | Kayley Mae Spinella | Physician Assistant | 147 Lake St, Newburgh, NY 12550-5263 | 2019-12-09 |
| 1932744273 | Laura Cutolo | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2019-11-11 |
| 1578106019 | Julie Moreno-warburton | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2019-10-28 |
| 1891263919 | Lilia Watson | Nurse Practitioner | 147 Lake St, Newburgh, NY 12550-5263 | 2018-11-06 |
| 1548736408 | Yolanda Sanabria-rosado | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2018-10-18 |
| 1902380736 | Mildred Audrey Riley-channer | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2018-09-18 |
| 1427546431 | Ghazaleh Sayah | Dentist | 147 Lake St, Newburgh, NY 12550-5263 | 2018-04-25 |
| 1851821342 | Andrea Lopera | Social Worker | 147 Lake St, Newburgh, NY 12550-5263 | 2017-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891260295 | Marilyn Serbetzian Lashlee | Pediatrics | 266 North St Ste A, Newburgh, NY 12550-3131 | 2018-10-11 |
| 1396905055 | Mercedes M Blanche | Pediatrics | 290 Broadway Ste 4, Newburgh, NY 12550-5448 | 2008-06-16 |
| 1003918871 | Alice Slade | Pediatrics | 15 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 | 2006-09-02 |
| 1639187206 | Barbara Baldwin | Pediatrics | 266 North St, Newburgh, NY 12550-3131 | 2006-08-03 |
| 1649288234 | Romana Iqbal Hosain | Pediatrics | 266 North Street, Suite A, Newburgh, NY 12550 | 2006-08-03 |
| 1942272695 | Anna M. Piotrowski | Pediatrics | 40 N Plank Rd, Newburgh, NY 12550-2116 | 2006-02-06 |
| 1194703959 | Maria C Ranola | Pediatrics | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2006-01-03 |
| 1093718405 | Julie A Hurlock | Pediatrics | 4111 Gateway Blvd, Newburgh, IN 47630-8954 | 2005-05-31 |
| 1790137743 | Tiffanie R. Santos | Pediatrics | 1200 Route 300, Newburgh, NY 12550-5003 | 2016-07-01 |
| 1255714705 | Mallory A Williams Zorn | Pediatrics | 4209 Gateway Blvd, Newburgh, IN 47630 | 2015-07-01 |
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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.