GINA SIRACUSANO (NPI# 1790384410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790384410 |
| Entity Type | Individual |
| Full Name | GINA SIRACUSANO |
| Credential | ATC, CES |
| Practice Address |
630 Mastic Rd Ste 4 Mastic Beach NY 11951-1020 |
| Mailing Address |
Po Box 57 Moriches NY 11955-0057 |
| Practice Telephone | 6317041899 |
| Mailing Telephone | 6317041899 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
002663-01 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 Beaver Dam Rd, Brookhaven, NY 117199707 | 6317041899 |
| Street Address |
630 MASTIC RD STE 4 |
| City | MASTIC BEACH |
| State | NY |
| Zip Code | 11951-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689173577 | Diana Perreco | Licensed Practical Nurse | 47 Montauk Dr, Mastic Beach, NY 11951 | 2018-02-06 |
| 1366832321 | Taylor Viggers | Specialist/Technologist | Tangier Smith Elementary School, 336 Blanco Drive, Mastic Beach, NY 11951 | 2015-01-29 |
| 1497159735 | Fabiola Reid | Counselor | 834 A East Main Street, Center Moriches, NY 11951 | 2014-10-15 |
| 1548674906 | Jacqueline D Searing | Local Education Agency (LEA) | 240 Mastic Beach Road, Mastic Beach, NY 11951 | 2014-06-13 |
| 1275890659 | Shaquana Marie Williams | Nurse's Aide | 143 Huntington Dr, Mastic Beach, NY 11951 | 2012-04-23 |
| 1790912889 | Mariann Cali | Developmental Therapist | 215 Laurelton Drive, Mastic Beach, NY 11951 | 2009-06-16 |
| 1225495518 | Steven Zore | Acupuncturist | 279 Madison St, Mastic Beach, NY 11951-1003 | 2016-01-19 |
| 1386907566 | Raven Guy | Licensed Practical Nurse | 530 Mastic Rd, Mastic Beach, NY 11951-1012 | 2012-06-21 |
| 1134429939 | Natalie Beth Gieser | Speech-Language Pathologist | 338 Blanco Dr, Mastic Beach, NY 11951-1021 | 2010-10-26 |
| 1750690665 | Anne Lee Savik | Social Worker | 336 Blanco Dr, Mastic Beach, NY 11951-1021 | 2010-09-28 |
| Find all providers in zip 11951 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902860430 | Jacqueline Anne Crytzer | Specialist/Technologist | 271 Jefferson Dr, Mastic Beach, NY 11951-2723 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1295333870 | Olivia Sarkodie Arthur | Specialist/Technologist | 128 Forest Ave, Buffalo, NY 14213-1039 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | MASTIC BEACH |
| Zip Code | 11951 |
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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.