MARIANNA CORDOVANO (NPI# 1841748456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841748456 |
| Entity Type | Individual |
| Full Name | MARIANNA CORDOVANO |
| Credential | PA-C |
| Practice Address |
1090 Amsterdam Ave Suite 10a New York NY 10025-1737 |
| Practice Telephone | 2125235222 |
| Practice Fax Number | 2125231761 |
| Mailing Telephone | 2125235222 |
| Mailing Fax Number | 2125231761 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2017-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 3667 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
020501-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04602140 | 05 | |
| CT | 1841748456 | 05 |
| Street Address |
1090 AMSTERDAM AVE SUITE 10A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427522 | Gary R Burke | Internal Medicine | 1090 Amsterdam Ave, Fl 4, New York, NY 10025-1737 | 2005-06-14 |
| 1407490071 | Monique Shenise Titley | Social Worker | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2019-11-06 |
| 1417428855 | Ewelina Wiecek | Social Worker | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2018-12-11 |
| 1912432964 | Jeletta Jose | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2017-04-27 |
| 1710419437 | Sabrina Ghim | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite 16a, New York, NY 10025-1737 | 2017-03-31 |
| 1679005474 | Ziv Nir | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite F, 16th Floor, New York, NY 10025 | 2017-03-30 |
| 1538691860 | Vivian Chan | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite 16a, New York, NY 10025-1737 | 2017-03-27 |
| 1336670892 | Annesly Gates | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suie 16a, New York, NY 10025-1737 | 2017-03-25 |
| 1023554318 | St.lukes Roosevelt Hospital Center Childrens Blended Case Managemen | Pediatrics | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2017-01-11 |
| 1184088981 | Jacqueline Lewandowski | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite 16 A, New York, NY 10025-1737 | 2016-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1861041840 | Gabriella Fluss | Physician Assistant | 268 W 84th St Apt 6c, New York, NY 10024-4362 | 2019-09-11 |
| 1659929123 | Jacob Mark Czajka | Physician Assistant | 130 E 77th St Fl Hall11, New York, NY 10075-1851 | 2019-08-28 |
| 1033766860 | Deena Rothman | Physician Assistant | 1090 Amsterdam Ave Ste 10a, New York, NY 10025-1737 | 2019-08-26 |
| 1730698747 | Nolle L Graham | Physician Assistant | East 101 Street, New York, NY 10029 | 2017-09-21 |
| 1629594494 | Emma Ungureanu | Physician Assistant | 1790 Broadway/ 5 Columbus Circle, Fl 8, New York, NY 10019-1412 | 2017-08-14 |
| 1881117141 | Kaitlin Anne Tergesen | Physician Assistant | 3959 Broadway # Chn216, New York, NY 10032-1559 | 2017-07-19 |
| 1356879217 | Andreina Armas | Physician Assistant | E 101st Street, Mount Sinai, New York, NY 10029 | 2017-05-23 |
| 1093189870 | Amanda Londino | Physician Assistant | 568 Park Avenue, New York, NY 10068 | 2015-11-17 |
| 1437521549 | Heather Sorrentino | Physician Assistant | 105 Haven Ave Apt 3d, New York, NY 10032-2708 | 2015-10-28 |
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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.