HALSEY CRUICKSHANK


Address: 1276 Fulton Ave, Bronx, NY 10456-3402
Phone: 7189018792

HALSEY CRUICKSHANK (NPI# 1841372083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841372083
Entity Type Individual
Full Name HALSEY CRUICKSHANK
Credential PHYSICIAN ASSISTANT
Practice Address 1276 Fulton Ave
Bronx
NY 10456-3402
Mailing Address 1431 E 108th St
Suite D
Brooklyn
NY 11236-4666
Practice Telephone 7189018792
Practice Fax Number 7189018799
Mailing Telephone 7187635093
Enumeration Date 2006-10-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
003540 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1276 FULTON AVE
City BRONX
State NY
Zip Code 10456-3402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881672038 John Douglas Reich Family Medicine 1276 Fulton Ave, 4th Floor, Bronx, NY 10456-3402 2006-01-06
1487265468 Mohamed Abdullah Abofaye Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2020-08-12
1144842071 Bhargava Suved Chitti Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2020-05-14
1578198875 Eric Garrels Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2020-03-06
1801428222 Bronxcare Health System Clinic/Center 1276 Fulton Ave, Bronx, NY 10456-3402 2020-02-05
1649838996 Nnachi O Mba Nurse Practitioner 1276 Fulton Ave, Bronx, NY 10456-3402 2019-06-02
1447814629 Elfy Payero Gonzalez Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2019-04-23
1912480500 Shana Grover Psychologist 1276 Fulton Ave, Bronx, NY 10456-3402 2018-09-11
1417436866 Bushra Abdullah Dakhilallah Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2018-08-07
1851886295 Sarah Ariana Albert Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2018-06-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336778281 Danielle O'reggio Nurse Practicioner In Family Health P.C. Nurse Practitioner 1200 Webster Ave., Bronx, NY 10456 2020-04-03
1326678111 New York Dialysis Services, Inc Clinic/Center 794 St Anns Ave, Bronx, NY 10456 2020-01-21
1174163430 Emmanuel Guzman Speech-Language Pathologist 968 Cauldwell Avenue Rm 307, Bronx, NY 10456 2020-01-14
1154988194 Arun George Prasad Student in an Organized Health Care Education/Training Program 1276 Fulton Avenue, Bronxcare Health System-fulton Divi, Psychiatry Residency, 5th Floor, Bronx, NY 10456 2019-05-24
1619431574 Soroush Pakniyat-jahromi Student in an Organized Health Care Education/Training Program 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 2019-01-24
1548745078 Danielle Renee O'reggio Nurse Practitioner 1210 Webster Ave, Bronx, NY 10456 2018-10-01
1154830537 Renee Lucette Mills Counselor 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 2017-09-28
1487177572 Webster Urgent Care, P.C. Clinic/Center 1210 Webster Avenue, Bronx, NY 10456 2017-07-20
1508395864 Cheryl Roxann Camp Counselor 530 East 169th Street, Apt. 10e, Bronx, NY 10456 2017-06-08
1336683465 Lorraine Dukes Health Educator 778 Forest Ave., P17x, Bronx, NY 10456 2016-12-08
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629574348 Viresh Ramnarayan Physician Assistant 1970 E Tremont Ave Apt 5c, Bronx, NY 10462-5658 2018-04-02
1871948620 Klementina Koci Physician Assistant 3400 Bainbridge Ave Fl Map33, Bronx, NY 10467-2404 2016-04-29
1134503931 Lindsay Averill Physician Assistant 1400 Pelham Pkwy S Ste 1213, Bronx, NY 10461 2015-07-13
1942693486 Oumou Drame Physician Assistant 785 Courtlandt Ave Apt 15c, Bronx, NY 10451-4324 2015-03-09
1477734804 Dimitra Mitsianis Physician Assistant 234 Eugenio Maria De Hostos 149th St, Department of Surgery, Bronx, NY 10451-5504 2007-11-14
1518151885 Brenda Jean Vecchione Physician Assistant 3rd Ave & 183 St., Bronx, NY 10457 2007-08-30
1467597369 Kwabena Ntiamoah Physician Assistant 1276 Fulton Ave. Bronx Lebanon Hospital, Dept. of Psychiatry, 1276 Fulton Ave, Bronx, NY 10456 2007-02-20
1851443311 Svetlana Tovt Physician Assistant 234 E149 Street, Room 6-20, Bronx, NY 10706 2007-01-17
1649335274 Andrew Walter Douglas Physician Assistant 3rd Ave and 183rd Str, Bronx, NY 10457-2594 2006-12-26
1619584612 Sallee Reynolds Mathews Physician Assistant 600 E 233rd St, Bronx, NY 10466-2604 2020-09-24
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Competitor

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City BRONX
Zip Code 10456

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Dataset Information

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.

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