DR. ELIZABETH KNACKMUHS REVERE (NPI# 1760628820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760628820 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH KNACKMUHS REVERE |
| Other Name | ELIZABETH MARY KNACKMUHS |
| Credential | MD |
| Practice Address |
400 Community Drive Division of Infectious Diseases Manhasset NY 11030 |
| Practice Telephone | 5165624280 |
| Practice Fax Number | 5165622626 |
| Mailing Telephone | 5165624280 |
| Mailing Fax Number | 5165622626 |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2011-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 250049 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
250049 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
400 COMMUNITY DRIVE DIVISION OF INFECTIOUS DISEASES |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235262122 | Prerna Shah | Psychiatry & Neurology | 400 Community Drive, Nsuh-dept of Psychiatry, Manhasset, NY 11030 | 2007-03-13 |
| 1245364546 | Joy Levinson | Psychologist | 400 Community Drive, Nsuh - Department of Psychiatry, Manhasset, NY 11030 | 2007-03-16 |
| 1033243308 | William Kline | Psychologist | 400 Community Drive, Nsuh-dept of Psychiatry, Manhasset, NY 11030 | 2007-03-16 |
| 1568596856 | Emma Laskin | Psychiatry & Neurology | 400 Community Drive, Nsuh-department of Psychiatry, Manhasset, NY 11030 | 2007-03-16 |
| 1841323748 | Juliet Vogel | Psychologist | 400 Community Drive, Nsuh-dept of Psychiatry, Manhasset, NY 11030 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841619855 | Ilan Berlinrut | Internal Medicine | 400 Community Dr Fl 1, Manhasset, NY 11030-3815 | 2014-04-08 |
| 1669500294 | Dazhi Chen | Internal Medicine | Nsuh - Dept of Medicine - Div of Infectious Diseases, 300 Community Drive, Manhasset, NY 11030 | 2007-03-02 |
| 1497815559 | Marcia Epstein | Internal Medicine | Nsuh Dept of Med Infectious Disease, 300 Community Drive, Manhasset, NY 11030 | 2006-12-11 |
| 1427118561 | Joseph Cervia | Internal Medicine | Dept of Medicine Div. of Infectious Disease, 300 Community Drive, Manhasset, NY 11030 | 2006-12-11 |
| 1831260835 | Michael Oppenheim | Internal Medicine | North Shore University Hospital, 300 Community Drive, Manhasset, NY 11030 | 2006-11-13 |
| 1619237807 | Infectious Disease Consultant of Long Island PC | Internal Medicine | 1201 Northern Blvd, Suite 300, Manhasset, NY 11030-3037 | 2012-05-21 |
| 1932488384 | Lawrence Ha | Internal Medicine | 400 Community Dr, Manhasset, NY 11030-3815 | 2011-08-16 |
| 1952697153 | Sheena Parvati Bharti | Internal Medicine | 400 Community Dr, Manhasset, NY 11030-3815 | 2011-06-26 |
| 1417077421 | Debra Decarlo | Internal Medicine | 300 Community Dr, Manhasset, NY 11030-3816 | 2007-03-31 |
| 1568592855 | Yelena Markovskaya | Internal Medicine | 300 Community Dr., Nsuh-dept of Medicine, Manhasset, NY 11030 | 2007-03-06 |
| Find all providers in MANHASSET | ||||
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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.