Provider Name | License Number | NPI Number | Provider Type | Exclusion Effective Date | SSN/FEIN |
BALDWIN HILARY E MD | 00163453 | 1962496265 | Physician | 05/26/2025 | Verify |
BEANEY NEIL | | | Direct Support Professional | 05/14/2025 | Verify |
BENJAMIN NEIL | | | Teacher Assistant | 05/14/2025 | Verify |
BRADLEY TIMOTHY | | | Counselor | 05/08/2025 | Verify |
CAROTENUTO KRISTEN AKA/DBA KRISTEN M. DALMAN | 00659663 | | Registered Nurse | 05/14/2025 | Verify |
COMMUNITY CNSLG SVC W NASSAU | P7704000 | 1033279963 | Diagnostic and Treatment Center | 05/06/2025 | Verify |
CREW ALIKA LAUREL | 00053689 | 1609915354 | Dentist | 05/26/2025 | Verify |
DAGOSTINO TONYA | 00245248 | | Licensed Practical Nurse | 05/14/2025 | Verify |
DOVLATYAN VARUZHAN MD | 00207890 | 1811928369 | Physician | 05/26/2025 | Verify |
EDEL WILLIAM ALTON | 00498001 | 1265752471 | Registered Nurse | 05/06/2025 | Verify |
FLEURIMONT GLORIANDE | 00206088 | 1649357039 | Physician | 05/06/2025 | Verify |
FORONDA FELIPE HOYOS | | | Unlicensed Surgeon | 05/14/2025 | Verify |
GALLO ALYSSA | | | Direct Support Professional | 05/08/2025 | Verify |
GARRELL-HALL JASON | | | Teachers Aide | 05/14/2025 | Verify |
HARRELL MARIAH | | | Child Care Worker | 05/14/2025 | Verify |
HARRIS PHILLIP | | | Certified Nurse Aide | 05/26/2025 | Verify |
HIRDT ALBERT P | 00168541 | 1396792636 | Physician | 05/14/2025 | Verify |
HOWARD KEITH | 00000992 | | Physician Assistant | 05/06/2025 | Verify |
Happy Family Social Adult Daycare Inc. | | | Adult Day Care | 05/08/2025 | Verify |
MALPICA MARCO | 00099325 | 1871043349 | Licensed Master Social Worker | 05/08/2025 | Verify |
MCGRATH CRISTIN | | | Custodian | 05/14/2025 | Verify |
NAIMAN HILLEL BRUCE | 00164037 | 1821147760 | Physician | 05/08/2025 | Verify |
NICKERSON ALFRED | 00348949 | | Licensed Practical Nurse | 05/26/2025 | Verify |
NY BE WELL MEDICAL PC | 00119754 | 1215402870 | Medical Practice | 05/26/2025 | Verify |
OLANDER JOHN | 00031065 | | Massage Therapist | 05/08/2025 | Verify |
RITZ LYNN M | 00269793 | | Licensed Practical Nurse | 05/08/2025 | Verify |
ROSE ELIZABETH | 00449279 | | Registered Nurse | 05/06/2025 | Verify |
RUSSELL SARA RPA AKA/DBA SARA DUNNE | 00015613 | 1053671859 | Physicians Assistant | 05/26/2025 | Verify |
SCHWARTZ JOSEPH | | | Owner | 05/26/2025 | Verify |
SHAW DARINA MARIE | 00324738 | 1427510288 | Licensed Practical Nurse | 05/14/2025 | Verify |
SMITH DARRYL CURTIS | 00272521 | 1245494533 | Physician | 05/08/2025 | Verify |
SPENCER QUINTON | | | Direct Support Professional | 05/06/2025 | Verify |
SUTTELL RACHAEL | 00018132 | 1114326865 | Occupational Therapist | 05/08/2025 | Verify |
SYAMAPRASAD SANJAI | 0000625 | | Polysomnographic Technologist | 05/14/2025 | Verify |
WOOD QUADIA | | | Custodian | 05/14/2025 | Verify |
WOODALL LATISHA | | | Direct Support Professional | 05/08/2025 | Verify |