MS. SUSAN M CLARK (NPI# 1215057708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215057708 |
| Entity Type | Individual |
| Full Name | MS. SUSAN M CLARK |
| Credential | LMT, MMT |
| Practice Address |
714 E Park Ave Long Beach NY 11561-2605 |
| Mailing Address |
532 E Harrison St Long Beach NY 11561-2443 |
| Practice Telephone | 5164317972 |
| Mailing Telephone | 5168175083 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 013274 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161950 | Susan Marie Clark | Nurse Practitioner | 674 Coral Way, Winter Springs, FL 32708-3127 | 2020-07-09 |
| 1528591575 | Susan Clark | Counselor | 604 S Walnut, Stillwater, OK 74074-4222 | 2017-04-06 |
| 1790178556 | Susan March Clark | Peer Specialist | 3277 E 2nd St, Tulsa, OK 74104-2134 | 2015-03-17 |
| 1841537990 | Susan Noble Clark | Developmental Therapist | 1730 Radcliffe Rd, Montgomery, AL 36106-2620 | 2013-01-09 |
| 1881963411 | Susan Clark | Occupational Therapy Assistant | 38 Wheeler Ave, Warwick, NY 10990-1341 | 2011-12-28 |
| 1437302684 | Susan Maslin Clark | Chiropractor | 20416 Bowfonds St, Ashburn, VA 20147-7457 | 2008-11-01 |
| 1871780940 | Susan Marie Clark | Counselor | 112 S Water St Ste B, Kent, OH 44240-3689 | 2007-10-02 |
| 1750403861 | Susan M Clark | Psychologist | 1022 Cherokee Ave, Royal Oak, MI 48067 | 2007-04-06 |
| 1598892085 | Susan L Clark | Psychiatry & Neurology | 9515 60th Ave W, Mukilteo, WA 98275 | 2007-02-28 |
| 1609968692 | Susan M Clark | Pediatrics | 1318 S Main Road, Vineland, NJ 08360 | 2006-09-28 |
| Street Address |
714 E PARK AVE |
| City | LONG BEACH |
| State | NY |
| Zip Code | 11561-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407896897 | Ira Grushack | Chiropractor | 714 E Park Ave, Long Beach, NY 11561-2605 | 2006-06-07 |
| 1427663574 | New Height Acupuncture PC | Acupuncturist | 714 E Park Ave, Long Beach, NY 11561-2605 | 2020-09-14 |
| 1568086387 | Charles Drake | Chiropractor | 714 E Park Ave, Long Beach, NY 11561-2625 | 2020-06-08 |
| 1851933360 | Gregory Toomey | Nurse Practitioner | 714 E Park Ave, Long Beach, NY 11561-2605 | 2019-10-16 |
| 1811254071 | East Park Chiropractic | Chiropractor | 714 E Park Ave, Long Beach, NY 11561-2605 | 2012-04-12 |
| 1295975639 | East Park Chiropractic | Chiropractor | 714 E Park Ave, Long Beach, NY 11561-2605 | 2009-02-25 |
| 1629290028 | Norman Swed | Acupuncturist | 714 E Park Ave, Long Beach, NY 11561-2605 | 2007-05-03 |
| 1578637583 | Acupuncture Healthcare Pllc | Acupuncturist | 714 E Park Ave, Long Beach, NY 11561-2605 | 2006-11-20 |
| 1972543320 | Jo Eisman | Chiropractor | 714 E Park Ave, Long Beach, NY 11561-2605 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246961 | Romina Zitofsky | Community Health Worker | 65 Pacific Blvd, Long Beach, NY 11561 | 2020-02-07 |
| 1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
| 1073032199 | Sherrie Cooper | Behavior Technician | 554 East Pine Street, Long Beach, NY 11561 | 2017-09-11 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| 1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
| 1316483977 | Taylor Nicole Paganini | Massage Therapist | 252 Grand Blvd, Long Beach, NY 11561 | 2017-01-06 |
| 1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
| 1588048797 | Carol Bell | Behavioral Analyst | 121 Harding Avenue, Long Beach, NY 11561 | 2015-07-17 |
| 1811378821 | Patricia Harris | Case Manager/Care Coordinator | 72 Illinios Avenue, Long Beach, NY 11561 | 2015-06-16 |
| 1164801916 | Antonia Dileo | Marriage & Family Therapist | 36 Prescott Street, Lido Beach, NY 11561 | 2015-05-27 |
| Find all providers in zip 11561 | ||||
| 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 |
|---|---|---|---|---|
| 1578162343 | Shanna Rae Parker | Massage Therapist | 4226 E 4th St Apt 1, Long Beach, CA 90814-4927 | 2020-10-22 |
| 1184223430 | Kelly Schott | Massage Therapist | 455 E Ocean Blvd Apt 702, Long Beach, CA 90802-4941 | 2020-10-19 |
| 1568069615 | Michael Navalta | Massage Therapist | 436 W 4th St Apt 8, Long Beach, CA 90802-2853 | 2020-10-01 |
| 1144837527 | Keith Garrison | Massage Therapist | 1501 E 3rd St Apt E, Long Beach, CA 90802-3623 | 2020-09-29 |
| 1053928846 | Beatriz Diego | Massage Therapist | 1535 E Hellman St Apt 8, Long Beach, CA 90813-6359 | 2020-09-26 |
| 1912514837 | Patricia Manseras | Massage Therapist | 3100 E 7th St Apt 7, Long Beach, CA 90804-4985 | 2020-09-24 |
| 1609482777 | Sybyl Cohen | Massage Therapist | 3703 Country Club Dr Unit 2, Long Beach, CA 90807-3127 | 2020-09-23 |
| 1124634274 | Tara Quinn | Massage Therapist | 5279 E The Toledo Apt 25279e, Long Beach, CA 90803-1862 | 2020-09-23 |
| 1619582178 | Mauricio Patino | Massage Therapist | 465 Shore Rd Apt 6r, Long Beach, NY 11561-5338 | 2020-09-11 |
| 1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 11561 |
Please comment or provide details below to improve the information on MS. SUSAN M CLARK.
| 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.