DENISE OCTAVIANI (NPI# 1841286325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841286325 |
Entity Type | Individual |
Full Name | DENISE OCTAVIANI |
Credential | D.O. |
Practice Address |
1223 N Salina St Syracuse NY 13208-1519 |
Mailing Address |
7999 Austrian Pine Cir Manlius NY 13104-9372 |
Practice Telephone | 3157033263 |
Practice Fax Number | 3154251994 |
Mailing Telephone | 3157033263 |
Mailing Fax Number | 3154251994 |
Enumeration Date | 2005-09-21 |
Last Update Date | 2008-03-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
197696-1 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01604911 | 05 |
Street Address |
1223 N SALINA ST |
City | SYRACUSE |
State | NY |
Zip Code | 13208-1519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437517463 | Octaviani Medicine PC | Family Medicine | 1223 N Salina St, Syracuse, NY 13208-1519 | 2016-02-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740736040 | M&a Mobilityllc | Non-emergency Medical Transport (VAN) | 1611 Lodi St, Syracuse, NY 13208 | 2016-08-28 |
1053655472 | Navid Rashidi Keikanloo | Dentist | 2800 Court St, Syracuse, NY 13208 | 2012-11-26 |
1801163399 | Kathleen Ann Troicke | Registered Nurse | 923 North Mcbride Street, Cathedral Academy At Pompei School, Syracuse, NY 13208 | 2011-11-28 |
1194016469 | Sharon Walsh Costello | Registered Nurse | 110 Second North Street, Apt 17, Syracuse, NY 13208 | 2011-04-21 |
1396058749 | Rebecca Lynn Martin | Licensed Practical Nurse | 102 Hamden Drive, Syracuse, NY 13208 | 2010-07-14 |
1730358045 | Tiffany Mckinney | Technician/Technologist | 2901 Court Street, Eyecare of Cny, Syracuse, NY 13208 | 2008-02-21 |
1871794594 | Edward Louis Defuria | Dentist | 2800 Court Street, Syracuse, NY 13208 | 2007-05-30 |
1912092354 | Karen Ev Fallon | Physical Therapist | 1603 Court Street, Syracuse, NY 13208 | 2006-10-03 |
1245346147 | Christian Haglund Woodhead | Dentist | 801 N. Salina St., Syracuse, NY 13208 | 2006-08-22 |
1619994167 | Judith Ann Falk | Social Worker | 1118 Court St, Syracuse, NY 13208 | 2006-07-17 |
Find all providers in zip 13208 |
Taxonomy Code | 207QA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adolescent Medicine |
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093224107 | Jenny Liu | Family Medicine | 1320 York Ave Apt 19b, New York, NY 10021-4860 | 2017-09-21 |
1972848307 | A Merryland Operating LLC | Family Medicine | 1704-06 Mermaid Ave, Brooklyn, NY 11224-2622 | 2012-12-12 |
1598844433 | Yefim Isaac Sosonkin | Family Medicine | 2221 Ocean Ave, Brooklyn, NY 11229-2303 | 2006-11-02 |
1861402273 | Melissa L. Trazzera | Family Medicine | 470 Woodbury Rd, Cold Spring Harbor, NY 11724-2234 | 2006-08-08 |
1063447878 | Valery Bayshtok | Family Medicine | 9905 63rd Dr, Rego Park, NY 11374-2450 | 2006-07-11 |
1275525040 | Harlee A Fried | Family Medicine | 28 Rykowski Ln, Middletown, NY 10941-4018 | 2005-08-18 |
1326049529 | Charles Richard Gordon | Family Medicine | 200 Cabrini Blvd, Suite 17, New York, NY 10033-1100 | 2005-08-10 |
1396211918 | Manhattan Medical Arts, Pllc | Family Medicine | 123 W 20th St, New York, NY 10011-3639 | 2018-10-22 |
1932699709 | Medea Medical PC | Family Medicine | 6829 Springfield Blvd, Oakland Gdns, NY 11364-2632 | 2018-05-16 |
1285993956 | Ocean Medical Plus PC | Family Medicine | 315 E 105th St, Suite 104, New York, NY 10029-5000 | 2012-05-15 |
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.