MRS. NINO TEVDORASHVILI (NPI# 1033412523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033412523 |
| Entity Type | Individual |
| Full Name | MRS. NINO TEVDORASHVILI |
| Credential | LMHC |
| Practice Address |
21-05 Linden St. Suite-2d Ridgewood NY 11385-2405 |
| Practice Telephone | 9172517437 |
| Mailing Telephone | 9172517437 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0045701 | NY | Behavioral Health & Social Service Providers |
| Street Address |
21-05 LINDEN ST. SUITE-2D |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515663 | Chandel Tommola | Counselor | 6060 Myrtle Ave, 863079, Ridgewood, NY 11386 | 2020-03-27 |
| 1689153314 | Maria Pietruszka | Counselor | 405 Onderdonk Ave Apt 2l, Ridgewood, NY 11385-1506 | 2018-08-13 |
| 1497272850 | Biljana Grebinnik | Counselor | 172 Franklin Ave Ste 4b, Ridgewood, NJ 07450-3229 | 2017-08-27 |
| 1841621091 | Adiasha Richards | Counselor | 5805 Metropolitan Ave, 1st Fl, Ridgewood, NY 11385-8329 | 2013-12-12 |
| 1770871469 | Mychattherapist Lcsw Pllc | Counselor | 666 Onderdonk Ave, Ridgewood, NY 11385-2207 | 2011-07-14 |
| 1487886982 | Francisca Nazario-pellot | Counselor | 1714 Hart St, Ridgewood, NY 11385-1144 | 2009-08-17 |
| 1821233560 | Denise Valentin | Counselor | 1726 Gates Ave, Ridgewood, NY 11385-2847 | 2008-12-10 |
| 1033368840 | Julio C Baez Jr. | Counselor | 120 Chesnut Street, Ridgewood, NJ 07450 | 2008-09-17 |
| 1225287030 | Beth Wendi Geisler | Counselor | 120 Chestnut Steet, Ridgewood, NJ 07450 | 2008-09-17 |
| 1144496357 | Susan Keefer | Counselor | 135 Bellair Rd, Ridgewood, NJ 07450-4101 | 2008-05-07 |
| Find all providers in RIDGEWOOD | ||||
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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.