CENTERPORT FAMILY MEDICINE (NPI# 1770582637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770582637 |
| Entity Type | Organization |
| Organization Name | CENTERPORT FAMILY MEDICINE |
| Practice Address |
2 Sills Ct Centerport NY 11721-1634 |
| Practice Telephone | 6317579500 |
| Practice Fax Number | 6317572325 |
| Mailing Telephone | 6317579500 |
| Mailing Fax Number | 6317572325 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | DR. LORRAINE FRANCES BURNS (PHYSICIAN/ DIRECTOR) |
| Authorized Official Telephone | 6317579500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 230512 | NY | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CENTERPORT FAMILY MEDICINE, P.C. | 210 East Main Street, Huntington, Ny 11743 |
| Street Address |
2 SILLS CT |
| City | CENTERPORT |
| State | NY |
| Zip Code | 11721-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477724615 | Island Medicine, Pllc | Clinic/Center | 2 Sills Ct, Centerport, NY 11721-1634 | 2008-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780097493 | Ruba Mohammed Alkadhi | Student in an Organized Health Care Education/Training Program | Aljadedah Street, Alsalam District, Riyadh, RIYADH 11721 | 2014-06-10 |
| 1497065213 | Stacy Sullivan | Speech-Language Pathologist | 235 Jackson Crescent, Centerport, NY 11721 | 2010-10-14 |
| 1699922740 | Michelle Kinstrey-walker | Registered Nurse | 122 Coolidge Dr, Centerport, NY 11721 | 2008-08-20 |
| 1063610459 | Family Service League | Community/Behavioral Health | 790 Park Avenue, Huntington, NY 11721 | 2007-07-06 |
| 1588784946 | David Green | Dentist | 34 Iroquois Avenue, Centerport, NY 11721 | 2007-03-30 |
| 1912088840 | Ernest C Chisena | Orthopaedic Surgery | 101 Centerport Road, Centerport, NY 11721 | 2006-10-18 |
| 1619226099 | Deborah G Seltzer | Specialist | 600 Mckinley Ter, Centerport, NY 11721-1018 | 2012-08-31 |
| 1942586201 | Donald Sturz | Psychologist | 833 Monroe Dr, Centerport, NY 11721-1022 | 2011-10-31 |
| 1366642274 | Homeward Bound Physical Therapy Services | Physical Therapist | 520 Adams Street, Centerport, NY 11721-1043 | 2007-07-19 |
| 1770633539 | Barbara Clemett | Social Worker | 131 Jackson Cres, Centerport, NY 11721-1053 | 2007-01-11 |
| Find all providers in zip 11721 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477724615 | Island Medicine, Pllc | Clinic/Center | 2 Sills Ct, Centerport, NY 11721-1634 | 2008-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942411 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 240 Airport Rd, White Plains, NY 10604-1315 | 2020-11-05 |
| 1649884537 | Bridge To Care Nurse Practitioner In Psychiatry PC | Clinic/Center | 3005 Church Ave, Brooklyn, NY 11226-4209 | 2020-09-08 |
| 1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
| 1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | CENTERPORT |
| Zip Code | 11721 |
Please comment or provide details below to improve the information on CENTERPORT FAMILY MEDICINE.
| 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.