| The Shield Institute | |
|
3909 214th Pl Bayside NY 11361-2123 | |
| (718) 269-2004 | |
| Not Available |
| Full Name | The Shield Institute |
|---|---|
| Speciality | Clinic/Center |
| Location | 3909 214th Pl, Bayside, New York |
| Authorized Official Name and Position | Susan Provenzano (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7188861682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Shield Institute 144-61 Roosevelt Avenue Flushing NY 11354 | The Shield Institute 3909 214th Pl Bayside NY 11361-2123 Ph: (718) 269-2004 |
| NPI Number | 1184661290 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 04/24/2018 |
| Medicare PECOS PAC ID | 2264472026 |
|---|---|
| Medicare Enrollment ID | O20050511000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184661290 | NPI | - | NPPES |
| 00243949 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6593164 (New York) | Primary |
| Provider Name | Karyn R Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548477847 PECOS PAC ID: 2769388735 Enrollment ID: I20031210000506 |
| Provider Name | Roberta L Donin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003832627 PECOS PAC ID: 3870574155 Enrollment ID: I20040525000513 |
| Provider Name | Richard Zelhof |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497724637 PECOS PAC ID: 0244293678 Enrollment ID: I20041108000311 |
| Provider Name | Jeannette Mangiere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437370343 PECOS PAC ID: 7315988276 Enrollment ID: I20050520000456 |
| Provider Name | Giulia Fagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083835938 PECOS PAC ID: 9638110596 Enrollment ID: I20050809000176 |
| Provider Name | Sylvia a Bottarini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851333264 PECOS PAC ID: 5698700425 Enrollment ID: I20050930000040 |
| Provider Name | Amy Muskin Galan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710042288 PECOS PAC ID: 5799791240 Enrollment ID: I20060221000887 |
| Provider Name | Michael E Kaufer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700942067 PECOS PAC ID: 8921168022 Enrollment ID: I20091014000296 |
| Provider Name | John M John |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023291952 PECOS PAC ID: 5890830996 Enrollment ID: I20100301000344 |
| Provider Name | Linda C Howe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194986414 PECOS PAC ID: 3274709670 Enrollment ID: I20120106000423 |
| Provider Name | Rebecca L Walsh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598074023 PECOS PAC ID: 8729246434 Enrollment ID: I20120228000093 |
| Provider Name | Robyn B Landau |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457483737 PECOS PAC ID: 9638337264 Enrollment ID: I20120228000345 |
| Provider Name | Luanne Horne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972874642 PECOS PAC ID: 3375702566 Enrollment ID: I20120307000711 |
| Provider Name | Ashly Mammen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720131394 PECOS PAC ID: 6800042623 Enrollment ID: I20120810000397 |
| Provider Name | Dana M Starr-grave |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942515580 PECOS PAC ID: 4284889502 Enrollment ID: I20130312000246 |
| Provider Name | Peter V Senatore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578937058 PECOS PAC ID: 5496051708 Enrollment ID: I20160314000809 |
| Provider Name | Sylvene T Blissett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821207341 PECOS PAC ID: 3375832215 Enrollment ID: I20160517001876 |
| Provider Name | Ahmed a Abdeldayem |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568860104 PECOS PAC ID: 4183914625 Enrollment ID: I20160613000282 |
| Provider Name | Mentwab Wuhib |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982065728 PECOS PAC ID: 8628364270 Enrollment ID: I20160907001706 |
| Provider Name | Andie L Callahan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184071417 PECOS PAC ID: 1557624335 Enrollment ID: I20180409000833 |
| Provider Name | Jamie L Bernstein |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477069128 PECOS PAC ID: 2769747443 Enrollment ID: I20180530001225 |
| Provider Name | Ahmad Abd-almonum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528599636 PECOS PAC ID: 2769721521 Enrollment ID: I20190222001410 |
| Provider Name | Darren L Bennett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831308493 PECOS PAC ID: 4385073998 Enrollment ID: I20200402002064 |
| Provider Name | Laverne Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457011348 PECOS PAC ID: 6507257409 Enrollment ID: I20220104001562 |
| Provider Name | Deborah Elizabeth Witthauer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710599709 PECOS PAC ID: 4587036546 Enrollment ID: I20230221001335 |
| Provider Name | Cheryl M Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518747864 PECOS PAC ID: 5294182853 Enrollment ID: I20231103002565 |
| Provider Name | Sade S Porter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710626221 PECOS PAC ID: 3375994528 Enrollment ID: I20240111003618 |
| Provider Name | Melissa Keyishian-arsenia |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184173411 PECOS PAC ID: 1355864174 Enrollment ID: I20250402000125 |
| Provider Name | Ezkiel Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407219116 PECOS PAC ID: 9931568664 Enrollment ID: I20260511001434 |
James a Rand MD LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20012 44th Ave, 3rd Floor, Bayside, NY 11361 Phone: 718-224-7454 Fax: 718-225-8430 |
Lefcort Mua Chiropractic, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21315 33rd Rd, Bayside, NY 11361 Phone: 516-521-8256 Fax: 718-229-4983 |
Marvin Base MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210-08 Northern Blvd, Bayside, NY 11361 Phone: 718-281-4461 Fax: 718-281-0566 |
Nuface Medical Spa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22215 Northern Blvd Lbby A, Bayside, NY 11361 Phone: 718-215-0020 Fax: 616-226-4785 |
Fresh Meadows Medical Care PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4223 Francis Lewis Blvd, Bayside, NY 11361 Phone: 718-224-5687 Fax: 718-224-5746 |
Ny Priority Medical Care PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3501 202nd St, Bayside, NY 11361 Phone: 718-224-7194 |