MRS. THERESA ANN DRAGOTTTO (NPI# 1962659961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962659961 |
| Entity Type | Individual |
| Full Name | MRS. THERESA ANN DRAGOTTTO |
| Credential | L.AC. |
| Practice Address |
363 Route 111 Smithtown NY 11787-4756 |
| Mailing Address |
4 Stone Gate Ct Smithtown NY 11787-1567 |
| Practice Telephone | 6318339996 |
| Practice Fax Number | 6313824082 |
| Mailing Telephone | 6318339996 |
| Mailing Fax Number | 6313824082 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2009-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 002284 | NY | Other Service Providers |
| Street Address |
363 ROUTE 111 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-4756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740242585 | Valerie Jessen | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4756 | 2006-04-05 |
| 1194337253 | Eva Dziergowska | Nurse Practitioner | 363 Route 111, Smithtown, NY 11787-4756 | 2020-08-20 |
| 1851815716 | Timothy Patrick Aiello | Nurse Practitioner | 363 Route 111, Smithtown, NY 11787-4756 | 2017-08-01 |
| 1396295853 | Katie Anne Goehle | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4756 | 2016-10-09 |
| 1700331873 | Pamela Trifaro, Lcsw, Pllc | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4756 | 2016-08-18 |
| 1336517242 | Long Island Medical Office, Pllc | Physical Medicine & Rehabilitation | 363 Route 111, Suite 107b, Smithtown, NY 11787-4756 | 2015-09-09 |
| 1932516911 | Gateway Counseling Lcsw Pllc | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4750 | 2014-07-22 |
| 1174896021 | Matthew D Gee, Lcsw, Phd, LLC | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4756 | 2012-02-22 |
| 1538431275 | Shannon King | Acupuncturist | 363 Route 111, Suite Ll8, Smithtown, NY 11787-4756 | 2012-01-26 |
| 1225325194 | Osteo Relief of Long Island PC | Physical Medicine & Rehabilitation | 363 Route 111, Suite 107, Smithtown, NY 11787-4756 | 2011-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219855 | Jennifer Elizabeth Leupold | Acupuncturist | 2 Brooksite Dr Ste 220, Smithtown, NY 11787-3492 | 2020-06-15 |
| 1134768732 | East Main Street Acupuncture Pllc | Acupuncturist | 300 E Main St Ste 2, Smithtown, NY 11787-2900 | 2019-12-30 |
| 1306405626 | Xinping Cao | Acupuncturist | 323 E Middle Country Rd Ste 3, Smithtown, NY 11787-2822 | 2019-06-10 |
| 1083104160 | Christopher King | Acupuncturist | 363 Route 111 Ste Ll8, Smithtown, NY 11787-4767 | 2018-05-15 |
| 1578098059 | Ece Algur | Acupuncturist | 12 Hemlock Ln, Smithtown, NY 11787-3740 | 2017-04-21 |
| 1164974713 | The Wellness Nook | Acupuncturist | 116 Terry Rd, Suite 200, Smithtown, NY 11787-3896 | 2016-10-31 |
| 1609270909 | Wolf Moon Inc | Acupuncturist | 875 W Jericho Tpke, Smithtown, NY 11787-3229 | 2014-10-15 |
| 1124345459 | Michelle Lieberman | Acupuncturist | 14 Franciscan Ln, Smithtown, NY 11787-1060 | 2010-04-26 |
| 1568644300 | Jennifer Muilenburg | Acupuncturist | 19 Grassy Pond Dr, Smithtown, NY 11787-4027 | 2007-12-04 |
| 1619191145 | Marian V Callahan | Acupuncturist | 777 Meadow Rd, Smithtown, NY 11787-1621 | 2007-04-13 |
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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.