POOVASIT KLINOUBOL (NPI# 1205245024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205245024 |
| Entity Type | Individual |
| Full Name | POOVASIT KLINOUBOL |
| Credential | DPM |
| Practice Address |
12 North Seventh Avenue Mount Vernon NY 10550 |
| Mailing Address |
40 E Sidney Ave Apt 7e Mount Vernon NY 10550-1419 |
| Practice Telephone | 6463389832 |
| Mailing Telephone | 6463389832 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2018-12-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
006854 | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
12 NORTH SEVENTH AVENUE |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
| 1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
| 1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
| 1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
| 1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
| Find all providers in zip 10550 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710222013 | Catarina Marisa Figueiredo | Podiatrist | 117 Wallace Ave, Mount Vernon, NY 10552-3222 | 2012-11-28 |
| 1215236187 | Bijou M Dennis-nfor | Podiatrist | 11 W Prospect Ave Fl 3, Mount Vernon, NY 10550-2017 | 2011-03-17 |
| 1194840496 | Diana Gagliano | Podiatrist | 630 Gramatan Ave, Mount Vernon, NY 10552-1840 | 2007-03-19 |
| 1215964010 | Mark G Mandato | Podiatrist | 109 Chester St, Mount Vernon, NY 10552-3203 | 2006-06-27 |
| 1538767850 | Ma Podiatry | Podiatrist | 1 Station Pl, Mount Vernon, NY 10552-3821 | 2020-10-09 |
| 1659725604 | Marisa Aranyavickul | Podiatrist | 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 2016-04-15 |
| 1053686725 | Abigail Lynn Elliott | Podiatrist | 809 Coshocton Ave, Suite A, Mount Vernon, OH 43050-1900 | 2012-03-14 |
| 1194993253 | Dogs Are Barkin Limited | Podiatrist | 120 S 15th St, Suite 2, Mount Vernon, WA 98274-4500 | 2008-02-12 |
| 1790851665 | Thomas H. Nolen, D.p.m., P.C. | Podiatrist | 1313 Main St, Mount Vernon, IL 62864-3720 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566108 | Vu Nguyen Corp | Podiatrist | 8622 Bay Pkwy Ste 2b, Brooklyn, NY 11214-4170 | 2020-10-23 |
| 1255930079 | Atlantic Podiatry Pllc | Podiatrist | 489 Atlantic Ave # 1a, Brooklyn, NY 11217-2985 | 2020-10-22 |
| 1891393906 | Finger Lakes Podiatry of Geneva, Pllc | Podiatrist | 220 Phoenix Mills Plz, Victor, NY 14564-1414 | 2020-10-12 |
| 1497378699 | Zh Podiatrist of Westchester PC | Podiatrist | 150 Edgepark Rd, White Plains, NY 10603-2106 | 2020-05-21 |
| 1528696259 | Capital District Podiatry, Pllc | Podiatrist | 855 Route 146 Bldg B, Clifton Park, NY 12065-3885 | 2020-03-30 |
| 1629615588 | Kelly Lucas Dpm PC | Podiatrist | 925 Hempstead Tpke Ste 110, Franklin Square, NY 11010-3636 | 2019-12-10 |
| 1811544257 | Christopher Chow Dpm PC | Podiatrist | 749 61st St Ste 503, Brooklyn, NY 11220-4211 | 2019-08-21 |
| 1063074565 | Balance Foot and Ankle LLC | Podiatrist | 611 Mitchel Field Way, Garden City, NY 11530-5057 | 2019-07-03 |
| 1083270979 | Jones Thomas | Podiatrist | 518 Terrace Blvd, New Hyde Park, NY 11040-4343 | 2019-05-15 |
| 1316419690 | Rockaway Podiatry Pllc | Podiatrist | 1957 Flatbush Ave, Brooklyn, NY 11234-2819 | 2018-12-26 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 10550 |
Please comment or provide details below to improve the information on POOVASIT KLINOUBOL.
| 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.