INNOVATION WOUND CARE ASSOCIATES, LLC (NPI# 1003244138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003244138 |
| Entity Type | Organization |
| Organization Name | INNOVATION WOUND CARE ASSOCIATES, LLC |
| Practice Address |
20 E Sunrise Hwy Suite 301 Valley Stream NY 11581-1260 |
| Practice Telephone | 5165692828 |
| Practice Fax Number | 5162954145 |
| Mailing Telephone | 5165692828 |
| Mailing Fax Number | 5162954145 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | DR. GILBERT G. MAKABALI (PRESIDENT) |
| Authorized Official Telephone | 5165692828 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 006327 | NY | Podiatric Medicine & Surgery Service Providers |
| Y | 174400000X | Specialist | 115251 | NY | Other Service Providers |
| Street Address |
20 E SUNRISE HWY SUITE 301 |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11581-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598102469 | New York Healthcare Select LLC | Home Health | 20 E Sunrise Hwy, Suite 201, Valley Stream, NY 11581-1260 | 2013-05-31 |
| 1477175974 | Constellation Home Based Therapy LLC | Occupational Therapist | 20 E Sunrise Hwy, Valley Stream, NY 11581-1260 | 2020-05-07 |
| 1275915837 | New York Health Care, Inc | Home Health | 20 E Sunrise Hwy, Suite 201, Valley Stream, NY 11581-1260 | 2015-06-19 |
| 1225469505 | Phycare Ipa | Exclusive Provider Organization | 20 E Sunrise Hwy, Suite 301, Valley Stream, NY 11581-1260 | 2013-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773437 | Step 2 Smile Physical Therapy PC | Physical Therapist | 74 Sylvan Place, Valley Stream, NY 11581 | 2019-05-01 |
| 1700369220 | Lyubov Nikolayeva | Nurse Practitioner | 76 Halyard Rd, Valley Stream, NY 11581 | 2018-09-11 |
| 1154846871 | Shayena Donaldson-fortune | Occupational Therapist | 100 Lotus Oval N, Valley Stream, NY 11581 | 2017-08-03 |
| 1255877080 | Fulin Wang | Acupuncturist | 45 Dartmouth St, Valley Stream, NY 11581 | 2017-01-18 |
| 1356796072 | Idit Ariel Zim | Speech-Language Pathologist | 924 Crestview Ave, Valley Stream, NY 11581 | 2016-05-02 |
| 1487086245 | Florence Jean Baptiste | Behavioral Analyst | 790 University Street, North Woodmere, NY 11581 | 2013-08-05 |
| 1760824254 | Tatiana Grant | Counselor | 70 Sunrise Hwy, Suite 500 #579, Valley Stream, NY 11581 | 2013-07-24 |
| 1740625698 | Patricia R. Curtis | Specialist | 96 Roosevelt Ave., Valley Stream, NY 11581 | 2013-05-06 |
| 1669769006 | Fredrica Beth Lieberstein | Health Educator | 792 Longview Avenue, North Woodmere, NY 11581 | 2011-07-06 |
| 1811288186 | Bruce Neil Goldman | Speech-Language Pathologist | 1030 Cedarhurst Street, North Woodmere, NY 11581 | 2011-04-21 |
| Find all providers in zip 11581 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735030 | Alexandra Carrenard | Specialist | 85 Fairfield St, Valley Stream, NY 11581-1823 | 2020-06-25 |
| 1225685126 | Debby R Hirsch | Specialist | 26 Horton Ave # 2, Valley Stream, NY 11581-1419 | 2019-08-25 |
| 1134785207 | Shannon Adote-lamptey | Specialist | 17 Saddle Rock Rd, Valley Stream, NY 11581-2517 | 2019-05-14 |
| 1225529944 | Jason Lewinter | Specialist | 497 Rockaway Ave, Valley Stream, NY 11581-1909 | 2018-05-29 |
| 1407369812 | Strides Toward Developmental Milestones | Specialist | 1238 G St, Valley Stream, NY 11580-1425 | 2017-11-07 |
| 1134656846 | Jaclyn Langabeer | Specialist | 955 Fenwood Dr, Apt 4, Valley Stream, NY 11580 | 2017-05-12 |
| 1225576663 | Coffey Mcmillan | Specialist | 315 N Central Ave, Apt. 8a, Valley Stream, NY 11580-2502 | 2017-02-06 |
| 1609320282 | Danielle Tischenkel | Specialist | 411 Willow Ln, Valley Stream, NY 11580-7019 | 2016-08-11 |
| 1538518717 | Nicole Caracappa | Specialist | 8 Miriam St Apt 2, Valley Stream, NY 11581-1340 | 2016-06-08 |
| 1023473576 | Wuraola Adaramola | Specialist | 1245 Barry Dr S, Valley Stream, NY 11580-1530 | 2015-12-29 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11581 |
Please comment or provide details below to improve the information on INNOVATION WOUND CARE ASSOCIATES, LLC.
| 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.