GABRIELLE CLARK (NPI# 1770068108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770068108 |
| Entity Type | Individual |
| Full Name | GABRIELLE CLARK |
| Practice Address |
11720 Partridge Rd Holland NY 14080-9800 |
| Practice Telephone | 7165378279 |
| Mailing Telephone | 7165378279 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
702723-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 166001806 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790253383 | Gabrielle Clark | Dental Hygienist | 1156 Cook St., Dannemora, NY 12929 | 2018-11-13 |
| 1255884698 | Gabrielle Clark | Technician, Other | 3557 Greenfield Rd, Dearborn, MI 48120-1217 | 2016-08-02 |
| 1134576754 | Gabrielle Sharon Clark | Podiatrist | 10555 Lake Forest Blvd Ste 3a-b, New Orleans, LA 70127-5206 | 2016-05-24 |
| 1407370711 | Gabrielle Alexandra Clark | Developmental Therapist | 33 Turnpike Road, Southborough, MA 01772 | 2017-07-28 |
| 1134442551 | Gabrielle Ann Clark | Speech-Language Pathologist | 6601 Phoenix Ave, Suite B, Fort Smith, AR 72903-5092 | 2010-03-12 |
| Street Address |
11720 PARTRIDGE RD |
| City | HOLLAND |
| State | NY |
| Zip Code | 14080-9800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891063111 | Mary Beth Seider | Speech-Language Pathologist | 11720 Partridge Rd, Holland, NY 14080-9800 | 2011-12-01 |
| 1760750517 | Pamela Gerard Russell | Occupational Therapist | 11720 Partridge Rd, Holland, NY 14080-9800 | 2011-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295030765 | Marsha A North | Occupational Therapy Assistant | 103 Canada St., Holland, NY 14080 | 2011-01-14 |
| 1295985307 | Holland Eye Center | Durable Medical Equipment & Medical Supplies | 23 N. Main St., Holland, NY 14080 | 2008-09-25 |
| 1457565137 | Gail Ann O'donnell | Technician/Technologist | 23 North Main St., Holland, NY 14080 | 2007-05-10 |
| 1407859879 | Christopher Scott Couzins | Optometrist | 23 North Main Street, Box 578, Holland, NY 14080 | 2005-05-31 |
| 1740507318 | Christopher Couzins Optometry PC | Clinic/Center | 23 N. Main St., Holland, NY 14080 | 2010-04-22 |
| 1245490036 | Sylvia M. Dlugokinski-plenz | Nurse Practitioner | 10909 Matteson Corners Rd, Holland, NY 14080-9310 | 2008-06-15 |
| 1891005773 | Catherine A. Cole | Occupational Therapy Assistant | 9739 Warner Gulf Rd, Holland, NY 14080-9420 | 2010-10-13 |
| 1821031105 | Holland Pharmacy Inc | Pharmacy | 19 N Main St, Holland, NY 14080-9509 | 2006-06-14 |
| 1720599228 | Route 16 Pharmacy, LLC | Pharmacy | 19 N Main St, Holland, NY 14080-9509 | 2017-10-24 |
| 1538482989 | Linda Marie Glassman | Pharmacist | 19 N Main St, Holland, NY 14080-9509 | 2010-03-11 |
| Find all providers in zip 14080 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437693207 | Amy Cooke | Registered Nurse | 103 Canada St, Holland, NY 14080-9806 | 2016-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760343 | Dorothy Christine Whitman | Registered Nurse | Wayland -cohocton Central School, 2350 Route 63, Wayland, NY 14572 | 2020-11-06 |
| 1841899028 | Kara Chalk Hartnett | Registered Nurse | 36 Mcmahon Ave, Corning, NY 14830-3316 | 2020-10-20 |
| 1801495056 | Connie L Miller | Registered Nurse | 5825 Catalpa Ave, Ridgewood, NY 11385-5001 | 2020-10-20 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1689281198 | Jessica Fermin | Registered Nurse | 216 Avenue M Apt 1f, Brooklyn, NY 11230-4689 | 2020-09-29 |
| 1700493236 | Leslie Marie Lamirande | Registered Nurse | Van Buren Elementary School, 14 Ford Street, Baldwinsville, NY 13027 | 2020-09-29 |
| 1922615822 | Alyssa Jane Arlen | Registered Nurse | 4704 State Route 149, Hartford, NY 12838 | 2020-09-25 |
| 1790391845 | Anna Kichuk | Registered Nurse | 160 School Ln, Frankfort, NY 13340-4710 | 2020-09-23 |
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1578172219 | Sasha Sara Martell | Registered Nurse | 2119 27th St Apt D1, Astoria, NY 11105-3014 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
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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.