MADISON LIDDLE


Address: 371 Humboldt St Apt 208, Brooklyn, NY 11211-2988
Phone: 3055825618

MADISON LIDDLE (NPI# 1073129805) 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) 1073129805
Entity Type Individual
Full Name MADISON LIDDLE
Practice Address 371 Humboldt St Apt 208
Brooklyn
NY 11211-2988
Practice Telephone 3055825618
Mailing Telephone 3055825618
Enumeration Date 2020-09-17
Last Update Date 2020-09-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY LIMITED PERMIT NUMBER P106340 01

Office Location

Street Address 371 HUMBOLDT ST APT 208
City BROOKLYN
State NY
Zip Code 11211-2988

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1073027751 Alicia Perez Counselor 141 South 5th Street, Office West #6, Brooklyn, NY 11211 2017-11-16
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1043769805 Jennifer S Budhan Social Worker 378 Union Ave, Office B, Brooklyn, NY 11211 2016-09-21
1174978613 Amor Siozon Physical Therapist 185 Marcy Avenue, Brooklyn, NY 11211 2016-05-03
1649656638 Albalis Chavez Specialist 334 South Third Street. Apt. 3c, Brooklyn, NY 11211 2015-08-03
1114315033 Maja Mirkovic Dietitian, Registered 378 Union Avenue, Office C, Brooklyn, NY 11211 2014-12-30
1447687033 Sarah Maria Johnson Counselor 190 S8 St. Apt. 14, Brooklyn, NY 11211 2013-09-27
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477154540 Rachel Steinhardt Counselor 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 2020-11-05
1164021705 Valesta Judy Lynch Counselor 1660 E New York Ave Unit 211, Brooklyn, NY 11212-8016 2020-10-24
1184231649 Yehoshua Yehuda Tabi Counselor 1975 52nd St, Brooklyn, NY 11204-1726 2020-09-29
1023625977 Caitlin Armstrong Counselor 57 7th Ave, Brooklyn, NY 11217-1462 2020-09-24
1235744509 Elizabeth Daiello Counselor 208 Bay 44th St, Brooklyn, NY 11214-6742 2020-09-13
1811502503 Melanie Nicole Cooke Counselor 629 Sterling Pl Apt 3r, Brooklyn, NY 11238-4820 2020-09-10
1376158139 Gail Herskowitz Counselor 1170 Ocean Pkwy Apt 10g, Brooklyn, NY 11230-4044 2020-09-09
1154932671 Anicka Hamilton Counselor 208 Washington Park, Brooklyn, NY 11205-4057 2020-08-10
1083224018 Sophie Angelique Desnoyers Counselor 2 Saint Nicholas Ave # 3120, Brooklyn, NY 11237-2337 2020-08-04
1689283566 Leonard Marino IIi Counselor 388 Midwood St Apt 3m, Brooklyn, NY 11225-5436 2020-07-28
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Competitor

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City BROOKLYN
Zip Code 11211

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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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