TRACIE CASULLO (NPI# 1902282387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902282387 |
| Entity Type | Individual |
| Full Name | TRACIE CASULLO |
| Credential | MS, ED |
| Practice Address |
32 Cohoes Rd Watervliet NY 12189-1811 |
| Practice Telephone | 5183280430 |
| Mailing Telephone | 5183280430 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
32 COHOES RD |
| City | WATERVLIET |
| State | NY |
| Zip Code | 12189-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801237359 | Rachna Shankar | Specialist | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2013-07-12 |
| 1053924910 | Janice Marie Gauriloff | Early Intervention Provider Agency | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2020-08-28 |
| 1811511298 | Kelly Thayer | Speech-Language Pathologist | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2020-06-02 |
| 1881214229 | Danielle Phillips | Speech-Language Pathologist | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2020-04-24 |
| 1154960193 | Katherine Agard | Social Worker | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2019-12-21 |
| 1578045829 | John David Ritrovato IIi | Occupational Therapy Assistant | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2018-09-04 |
| 1598246498 | Erin O'connor-slater | Social Worker | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2018-08-28 |
| 1861918237 | Aimee Lynn Alvarez | Occupational Therapy Assistant | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2017-08-17 |
| 1689116444 | Sara Lammon | Social Worker | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2016-11-10 |
| 1750831624 | Sara E Heidelmark | Specialist | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173744 | Edie Harris | Home Health Aide | 358 Watervliet Shaker Rd Unit A, Watervliet, NY 12189 | 2015-09-10 |
| 1689960163 | Sharon Mahoney | Speech-Language Pathologist | 11 Haswell Road, Watervliet, NY 12189 | 2011-06-23 |
| 1427279009 | Shakil Ali Virjee | Dentist | 1533 2nd Ave, Watervliet, NY 12189 | 2007-05-01 |
| 1952466286 | Watervliet City School District | Local Education Agency (LEA) | 1245 Hillside Drive, Watervliet, NY 12189 | 2006-12-27 |
| 1083788152 | Mahendra Ganjhu | Internal Medicine | 310 23rd Street, Watervliet, NY 12189 | 2006-11-20 |
| 1871012906 | Zhaleh Laliberte Lavasani | Speech-Language Pathologist | 32 Cohoes Road, Watervliet, NY 12189 | 2017-09-09 |
| 1861917924 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1901 2nd Ave, Watervliet, NY 12189 | 2017-08-10 |
| 1952783755 | Heather Sliwinski | Early Intervention Provider Agency | 32 Cohoes Road, Achievements and Kids Express, Watervliet, NY 12189 | 2015-06-29 |
| 1699051326 | Kelly Ann Rost | Social Worker | 11 Haswell Road, Watervliet, NY 12189 | 2011-10-26 |
| 1861585168 | Gattu N Rao | Surgery | 815 19th Street, First Fl., Watervliet, NY 12189-0187 | 2006-10-02 |
| Find all providers in zip 12189 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170445 | Nadine Alexandra Cunningham | Specialist/Technologist, Other | 49 Hampshire Way, Schenectady, NY 12309-1958 | 2020-09-25 |
| 1568096337 | Melissa Encarnacion | Specialist/Technologist, Other | 7 Fordham Hill Oval Apt 6f, Bronx, NY 10468-4834 | 2020-03-02 |
| 1275166597 | Saja Ababneh | Specialist/Technologist, Other | 17 Bay 34th St Apt 1r, Brooklyn, NY 11214-4208 | 2020-02-14 |
| 1629625777 | Aliage M Walters | Specialist/Technologist, Other | 435 Central Park W Apt 50, New York, NY 10025-4377 | 2019-08-23 |
| 1558928804 | Tara Rodie | Specialist/Technologist, Other | 1669 E 36th St, Brooklyn, NY 11234-4218 | 2019-05-22 |
| 1063078954 | Gina Mcmanus | Specialist/Technologist, Other | 7 High St Ste 201, Huntington, NY 11743-3417 | 2019-05-15 |
| 1154985562 | Jayne C Figuera | Specialist/Technologist, Other | 45 W 132nd St Apt 7b, New York, NY 10037-3110 | 2019-05-01 |
| 1942762992 | Brendan Meade | Specialist/Technologist, Other | 317 Rose Ln, Smithtown, NY 11787-4419 | 2019-04-01 |
| 1417438599 | Esther Mashaiv | Specialist/Technologist, Other | 7345 197st Flushing, New York, NY 11366 | 2018-08-27 |
| 1962990176 | Yuki Arai | Specialist/Technologist, Other | 10 E 23rd St Ste 220, New York, NY 10010-4467 | 2018-04-24 |
| Find all providers with the same taxonomy | ||||
| City | WATERVLIET |
| Zip Code | 12189 |
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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.