SNEZHANA MULLOKANDOV (NPI# 1972635753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972635753 |
| Entity Type | Individual |
| Full Name | SNEZHANA MULLOKANDOV |
| Practice Address |
380 Nassau Rd Long Island Fqhc, Inc. Roosevelt NY 11575-1343 |
| Mailing Address |
380 Nassau Rd Long Island Fqhc, Inc Roosevelt NY 11575-1343 |
| Practice Telephone | 5165718600 |
| Mailing Telephone | 5165718600 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2014-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 242796 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE | 242796 | 01 |
| NY | 02864919 | 05 |
| Street Address |
380 NASSAU RD LONG ISLAND FQHC, INC. |
| City | ROOSEVELT |
| State | NY |
| Zip Code | 11575-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623524 | Sabiha Haque | Internal Medicine | 380 Nassau Rd, Long Island Fqhc, Inc., Roosevelt, NY 11575-1343 | 2006-03-20 |
| 1578122388 | Lilliam Gesell Cruz | Dental Hygienist | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2019-06-06 |
| 1164924387 | Katherine Regan Gallagher | Pharmacist | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2018-03-03 |
| 1457725921 | Tia L Knight-forbes | Nurse Practitioner | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2015-11-21 |
| 1013304013 | Katherine F Cooke | Social Worker | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2015-04-17 |
| 1235531070 | Joshua Pinto | Student in an Organized Health Care Education/Training Program | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2014-09-24 |
| 1649691726 | Juana Maria | Counselor | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2013-12-17 |
| 1265853493 | Erroll Sam | Counselor | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2013-12-13 |
| 1144650557 | Carol Jobson | Social Worker | 380 Nassau Rd, Ll, Roosevelt, NY 11575-1343 | 2013-11-21 |
| 1912249459 | Elizabeth Maria Moshkovich | Social Worker | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2013-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695800 | Joi Emmanuel | Social Worker | 335 East Clinton Avenue, Roosevelt, NY 11575 | 2019-02-19 |
| 1568838654 | Patricia Roots | Licensed Practical Nurse | 76 W Centennial Ave, Roosevelt, NY 11575 | 2015-08-12 |
| 1235413782 | Belle Cleaning Services LLC | Preferred Provider Organization | 64 Elmwood Ave, Roosevelt, NY 11575 | 2011-10-03 |
| 1194970715 | Lisa B. Maniatis-fitting | Physical Therapy Assistant | 360 Washington Ave., Roosevelt, NY 11575 | 2008-11-24 |
| 1629131792 | Naomi Deborah Steinberg | Social Worker | Ucpn-380 Washington Ave, Roosevelt, New York, NY 11575 | 2006-12-19 |
| 1750340212 | Eleanor Babinski | Pediatrics | 150 E. Sunrise Hwy, Suite 105, Lindenhurst, NY 11575 | 2006-03-22 |
| 1558778407 | Eac, Inc. | Day Training, Developmentally Disabled Services | 50 Clinton Street, Hempstead, NY 11575 | 2014-07-11 |
| 1720415342 | Kristen Leigh Gaglio | Specialist | 380 Washington Avenue, Roosevelt, NY 11575 | 2013-09-27 |
| 1083992192 | Stefanie Gofter | Occupational Therapist | 380 Washington Avenue, Roosevelt, NY 11575 | 2011-07-25 |
| 1437304045 | Bobby Nabeyama | Physical Therapist | 360 Washington Ave, Roosevelt, NY 11575 | 2008-11-24 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134106784 | Clayton Scott Syndergaard | Obstetrics & Gynecology | 250 W 300 N, Ubmc, Roosevelt, UT 84066-2336 | 2005-12-26 |
| 1154607323 | Erum Hashmi | Obstetrics & Gynecology | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2011-11-01 |
| 1437202280 | Ben Douglas Williams | Obstetrics & Gynecology | 210 W 300 N, Roosevelt, UT 84066-2336 | 2007-01-18 |
| 1194786095 | John D Nolte | Obstetrics & Gynecology | 210 W 300 N 75-3, Roosevelt, UT 84066 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627799 | Kb Medical Practice PC | Obstetrics & Gynecology | 120 5th Ave Fl 5, New York, NY 10011-5638 | 2020-10-23 |
| 1780298281 | Tse Medical Pllc | Obstetrics & Gynecology | 846 55th Street, 1fl, Brooklyn, NY 11220-1122 | 2020-09-02 |
| 1285251108 | Khatri Medical Suites PC | Obstetrics & Gynecology | 466 Willis Avenue, Suite 366, Williston Park, NY 11596 | 2020-06-26 |
| 1891317582 | Lenox Obgyn, LLC | Obstetrics & Gynecology | 175 E 62nd St Ste 1a, New York, NY 10065-7626 | 2020-05-15 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1427610021 | K & K Broadway Inc. | Obstetrics & Gynecology | 111 Broadway Rm 1405, New York, NY 10006-3903 | 2019-07-03 |
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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.