DR. ANGELINA S RODNER


Address: 505 Irving Ave, Upstate Concussion Management Program, Syracuse, NY 13210-1718
Phone: 3154648986

DR. ANGELINA S RODNER (NPI# 1992949192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992949192
Entity Type Individual
Full Name DR. ANGELINA S RODNER
Credential PH.D.
Practice Address 505 Irving Ave
Upstate Concussion Management Program
Syracuse
NY 13210-1718
Mailing Address 505 Irving Avenue, Suite 1249d
Upstate Concussion Mangement Program
Syracuse
NY 13210-2716
Practice Telephone 3154648986
Practice Fax Number 3154642329
Mailing Telephone 3154648986
Mailing Fax Number 3154642329
Enumeration Date 2009-05-01
Last Update Date 2013-04-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
018084 NY Behavioral Health & Social Service Providers

Office Location

Street Address 505 IRVING AVE
UPSTATE CONCUSSION MANAGEMENT PROGRAM
City SYRACUSE
State NY
Zip Code 13210-1718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952811333 Michael Patrick Vannostrand Clinical Exercise Physiologist 505 Irving Ave, Syracuse, NY 13210-1718 2017-10-11
1841674553 Rebecca Gavett Clinical Neuropsychologist 505 Irving Ave, Suny Upstate Medical University, Syracuse, NY 13210-1718 2015-07-13
1912304106 Maggie Kathleen Krywalski Clinical Nurse Specialist 505 Irving Ave, Suite 1249, Syracuse, NY 13210-1718 2014-12-03
1366848343 Sandra Compton Registered Nurse 505 Irving Ave, Syracuse, NY 13210-1718 2014-11-18
1689949836 Gila Z. Reckess Clinical Neuropsychologist 505 Irving Ave, Syracuse, NY 13210-1718 2012-03-20
1730462656 Tolani Ajagbe Psychiatry & Neurology 505 Irving Ave, Syracuse, NY 13210-1718 2011-09-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558973586 Maizie Marie Shaw Social Worker 660 Madison Street, Syracuse, NY 13210 2020-08-20
1427666916 Christine Marie Welker Registered Nurse 735 Irving Avenue, Syracuse, NY 13210 2020-07-21
1386263994 Ashwini Krishna Ashwath Student in an Organized Health Care Education/Training Program 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 2020-04-14
1073142329 Kamala Ojha Student in an Organized Health Care Education/Training Program 750-east Adam's Street, Syracuse, NY 13210 2020-04-07
1003442369 Brittany Nicole Lippert Counselor 615 Madison St, Syracuse, NY 13210 2020-03-19
1902430499 Dkt Physician Pllc Internal Medicine 475 Irving Ave, Suite 410, Syracuse, NY 13210 2020-02-24
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1265099022 Michelle Gallagher Psychologist Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 2019-05-28
1639659428 Francesca Wanda Cotrupe Physical Medicine & Rehabilitation Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 2018-08-21
1700370327 Dallin Lindahl Physical Medicine & Rehabilitation 750 E Adams St # Jh308, Syracuse, NY 13210 2018-06-18
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1114586393 Paige Ouimette, Phd, Psychologist, PC Psychologist 1101 Erie Blvd E Ste 206, Syracuse, NY 13210-1144 2019-06-11
1053827899 Deborah L. Pollack, Psychologist, PC Psychologist 4317 E Genesee St Ste 200, Syracuse, NY 13214-2114 2017-12-15
1235571688 Kelly C. Richards Psychologist 721 Orwood Pl, Syracuse, NY 13208-3124 2013-07-26
1275811291 Dewitt Counseling Associates, Lcsw, PC Psychologist 890 E Brighton Ave, Syracuse, NY 13205-2538 2011-07-25
1932345998 Norman J. Lesswing Psychologist 307 S Townsend St, Syracuse, NY 13202-2128 2008-12-22
1760656847 Barbara Mcclure Psychologist 6 Lansdowne Rd, Syracuse, NY 13214-2123 2008-04-18
1316165301 Michael Louis Boucher Psychologist 307 Semloh Dr, Syracuse, NY 13219-2829 2007-04-23
1922149368 Jerome Rene Wilett Psychologist 500 N Mcbride St, Syracuse, NY 13203-1913 2007-02-09
1881755312 John F Harkulich Psychologist 419 Shuart Ave, Syracuse, NY 13203-3025 2006-12-12
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Competitor

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City SYRACUSE
Zip Code 13210

Improve Information

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Dataset Information

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.

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