DEIRDRE MCDONOUGH (NPI# 1881084606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881084606 |
| Entity Type | Individual |
| Full Name | DEIRDRE MCDONOUGH |
| Credential | LMT |
| Practice Address |
399 Merrick Ave Merrick NY 11566-2723 |
| Practice Telephone | 5166238116 |
| Mailing Telephone | 5166238116 |
| Enumeration Date | 2015-02-01 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 010722 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Wantagh Ave Ste 202, Wantagh, NY 117932210 | 5166238116 | |
| 399 Merrick Ave, Merrick, NY 115662723 | 5166238116 |
| Street Address |
399 MERRICK AVE |
| City | MERRICK |
| State | NY |
| Zip Code | 11566-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750495685 | James W Rogers | Chiropractor | 399 Merrick Ave, Merrick, NY 11566 | 2006-08-18 |
| 1952615874 | North Merrick Chiropractic | Chiropractor | 399 Merrick Ave, Merrick, NY 11566-2723 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722657 | Francis Gregory Coffey | Psychologist | 124 N Merrick Ave, Merrick, NY 11566 | 2019-04-15 |
| 1912499401 | Icahn School of Medicine At Mount Sinai | Registered Nurse | 2209 Merrick Rd Ste 101, Merrick, NY 11566 | 2018-05-31 |
| 1013436732 | Elisabeth Chandlin Walker | Speech-Language Pathologist | 2825 Bay Dr, Merrick, NY 11566 | 2017-09-13 |
| 1720509938 | Gloria Lebeaux | Social Worker | 1860 Nassau Street, Merrick, NY 11566 | 2017-06-28 |
| 1104350941 | Sari Klar | Counselor | 1991 Norshon Rd, Merrick, NY 11566 | 2017-04-19 |
| 1447790563 | Yash Shah | Student in an Organized Health Care Education/Training Program | 1068 Susan Ct, Merrick, NY 11566 | 2017-03-08 |
| 1457700320 | Rachel Zimmern | Specialist | 16 Arbor Ln, Merrick, NY 11566 | 2016-06-10 |
| 1326435785 | Christine Cione | Counselor | 2116 Merrick Avenue, Suite 2006, Merrick, NY 11566 | 2015-04-22 |
| 1407269590 | Yolanda Stahl Dpm PC | Podiatrist | 1457 Merrick Ave, Merrick, NY 11566 | 2014-06-05 |
| 1629496575 | Sara D Lobato | Registered Nurse | 1970 Brook Park Dr, Merrick, NY 11566 | 2014-03-28 |
| Find all providers in zip 11566 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085886 | Paula Candidus | Massage Therapist | 50b Merrick Ave, Merrick, NY 11566-3654 | 2020-02-13 |
| 1275172405 | Barbara Ann Bailey | Massage Therapist | 12 Alton Ct, Merrick, NY 11566-1401 | 2020-01-06 |
| 1427541531 | Bianca Josephine Smith | Massage Therapist | 50a Merrick Ave, Merrick, NY 11566-3593 | 2018-06-13 |
| 1548677891 | Caban Massage Therapy | Massage Therapist | 1819 Merrick Ave, Merrick, NY 11566-2718 | 2014-07-18 |
| 1386872943 | Rita Dalton-will | Massage Therapist | 1755 Bushwick Ave, Merrick, NY 11566-2940 | 2009-06-22 |
| 1144856782 | Angela M Rondinella | Massage Therapist | 50b Merrick Ave, Merrick, NY 11566-3654 | 2020-03-16 |
| 1790318921 | Krista Deluca | Massage Therapist | 1613 Merrick Rd, Merrick, NY 11566-4540 | 2020-02-17 |
| 1598305948 | Polixeni Christina Vlamis | Massage Therapist | 1613 Merrick Rd, Merrick, NY 11566-4540 | 2020-01-14 |
| 1497395099 | Shanon Bridgett Ronquillo | Massage Therapist | 50b Merrick Ave, Merrick, NY 11566-3654 | 2020-01-10 |
| 1679092258 | Madeleine Lerner | Massage Therapist | 15 Court St, Merrick, NY 11566-3451 | 2017-09-14 |
| Find all providers in MERRICK | ||||
Please comment or provide details below to improve the information on DEIRDRE MCDONOUGH.
| 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.