SUSAN GABRIELA DUTAN URBINA I (NPI# 1093354094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093354094 |
Entity Type | Individual |
Full Name | SUSAN GABRIELA DUTAN URBINA I |
Credential | MT |
Practice Address |
8811 Jamaica Ave Woodhaven NY 11421-2039 |
Mailing Address |
8315 94th St Woodhaven NY 11421-1716 |
Practice Telephone | 7188462300 |
Mailing Telephone | 7188109192 |
Enumeration Date | 2019-12-23 |
Last Update Date | 2019-12-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 026621 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
8811 JAMAICA AVE |
City | WOODHAVEN |
State | NY |
Zip Code | 11421-2039 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386754695 | Yellowstone Physical Therapy PC | Specialist | 8811 Jamaica Ave, Woodhaven, NY 11421-2039 | 2006-08-30 |
1801356860 | Shweta Pradhan | Physical Therapist | 8811 Jamaica Ave, Woodhaven, NY 11421-2039 | 2019-03-24 |
1437629565 | Cheby Yen Lim Ruiz | Physical Therapist | 8811 Jamaica Ave, Woodhaven, NY 11421-2039 | 2018-12-02 |
1699035451 | Occupational Therapy for Kids and Adults P.C. | Occupational Therapist | 8811 Jamaica Ave, Woodhaven, NY 11421-2039 | 2012-05-25 |
1083851844 | Jbkm, LLC | Optometrist | 8811 Jamaica Ave, Woodhaven, NY 11421-2039 | 2009-01-15 |
1861659641 | Occupational Therapy for Kids and Adults PC | Occupational Therapist | 8811 Jamaica Ave, Woodhaven, NY 11421-2039 | 2008-05-20 |
1447421276 | Mitchell C Rubin | Chiropractor | 8811 Jamaica Ave, Woodhaven, NY 11421-2039 | 2008-03-19 |
1063690667 | Zlata Kariyev | Occupational Therapist | 8811 Jamaica Ave, Woodhaven, NY 11421-2039 | 2008-02-06 |
1679759260 | Leonid Kol | Nurse Practitioner | 8811 Jamaica Ave, Woodhaven, NY 11421-2039 | 2008-01-14 |
1073727350 | Mohamed K Nour | Specialist | 8811 Jamaica Ave, Woodhaven, NY 11421-2039 | 2007-05-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699238410 | Nalini Dookie | Registered Nurse | 80-16-87 Rd, Queens, NY 11421 | 2019-04-09 |
1063980761 | Vilia Francois | Licensed Practical Nurse | 8715 89th Street, 8715 89th Street, Brooklyn, NY 11421 | 2018-11-12 |
1811407190 | Damian Demolina | Massage Therapist | 91-01 85 Ave, Apt 2r, Woodhaven, NY 11421 | 2017-10-02 |
1538685029 | Cody Tun Zhang | Pharmacist | 8733 88th Street, Woodhaven, NY 11421 | 2017-08-16 |
1669909263 | Xueying Qiao | Genetic Counselor, MS | 8320 98 Street, Apt. 5l, Woodhaven, NY 11421 | 2017-05-15 |
1033654561 | Akeiah Oliver | Registered Nurse | 91-25 85th Avenue, Woodhaven, NY 11421 | 2016-12-19 |
1467995068 | George Papashvili | Physical Therapy Assistant | 8571 87 Street, Woodhaven, NY 11421 | 2016-11-30 |
1336691161 | Yessenia Valdes | Specialist | 9009 91 Ave, Woodhaven, NY 11421 | 2016-10-27 |
1316494933 | Nixia Jordan | Chiropractor | 9208 Jamaica Ave., Woodhaven, NY 11421 | 2016-09-01 |
1841643228 | Claudia Gutierrez | Registered Nurse | 8612 Jamaica Ave 3 Fl, Woodhaven, NY 11421 | 2016-07-20 |
Find all providers in zip 11421 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861007148 | Bharti Ramesh | Massage Therapist | 8733 86th St, Woodhaven, NY 11421-1915 | 2020-09-13 |
1679188502 | Jamira Santiago | Massage Therapist | 8645 78th St Fl 2, Woodhaven, NY 11421-1045 | 2020-09-08 |
1811407190 | Damian Demolina | Massage Therapist | 91-01 85 Ave, Apt 2r, Woodhaven, NY 11421 | 2017-10-02 |
1043655608 | Jessica Lynne Pierson | Massage Therapist | 84-16 Jamaica Avenue, Woodhaven, NY 11421 | 2013-05-08 |
1649694563 | Benesa Santos | Massage Therapist | 8416 Jamaica Ave, Woodhaven, NY 11421-1920 | 2014-02-12 |
1407158140 | Riche Yao | Massage Therapist | 8416 Jamaica Ave, Woodhaven, NY 11421-1920 | 2010-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
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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.