CHANTA MABRY (NPI# 1285275354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285275354 |
| Entity Type | Individual |
| Full Name | CHANTA MABRY |
| Practice Address |
1787 Fulton St Brooklyn NY 11233-3029 |
| Mailing Address |
6 Bainbridge Pl Unit 905 Newburgh NY 12550-7423 |
| Practice Telephone | 3477509089 |
| Mailing Telephone | 3477509089 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | BO-17-00023 | NY | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6 Bainbridge Pl Unit 905, Newburgh, NY 125507423 | 3477509089 |
| Street Address |
1787 FULTON ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11233-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066381 | Elisa Jeanne Smith | Social Worker | 1505 St. Marks Ave, Clinical Office, Brooklyn, NY 11233 | 2020-09-08 |
| 1154968493 | Jahmani Hylton | Social Worker | 451 Macon Street, Ground Floor, Brooklyn, NY 11233 | 2019-12-05 |
| 1487121935 | Kimberly Ramsay | Social Worker | 1847 Prospect Place, Basement, Brooklyn, NY 11233 | 2018-11-01 |
| 1952823874 | Valerie A Davis | Specialist | 1769 Park Place, 1a, Brooklyn, NY 11233 | 2017-07-12 |
| 1053833988 | Griselda Colmena | Case Manager/Care Coordinator | 1765 Prospect Pl, 2h, Brooklyn, NY 11233 | 2017-07-12 |
| 1316476724 | Juliana Susannah Green Peters | Registered Nurse | 887 Hancock St, Brooklyn, NY 11233 | 2017-06-08 |
| 1043744816 | Marjorie Direny | Social Worker | 23484 Atlantic Ave, Brooklyn, NY 11233 | 2017-04-18 |
| 1467999169 | Myint M Nwe | Student in an Organized Health Care Education/Training Program | #30 Kane Place, Brooklyn, New York City, NY 11233 | 2017-01-20 |
| 1053857417 | Lateefat Lawal | Case Manager/Care Coordinator | 216 Rockaway Ave, Apt 22a, Brooklyn, NY 11233 | 2017-01-10 |
| 1932659232 | Tonetta Arnold | Counselor | 1569 Prospect, 6b, Brooklyn, NY 11233 | 2016-10-11 |
| Find all providers in zip 11233 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740789544 | Modern Medical Supply Inc | Prosthetic/Orthotic Supplier | 4403 8th Ave, Brooklyn, NY 11220-1513 | 2018-02-07 |
| 1780102657 | Osy Inc | Prosthetic/Orthotic Supplier | 4424 16th Ave Fl 3, Brooklyn, NY 11204-1012 | 2017-08-31 |
| 1316486483 | Aaa Insoles Inc | Prosthetic/Orthotic Supplier | 2805 E 26th St, Suite 3c, Brooklyn, NY 11235-2747 | 2017-02-21 |
| 1194182840 | Lcs Prosthetics | Prosthetic/Orthotic Supplier | 4714 Fort Hamilton Pkwy, Brooklyn, NY 11219-2926 | 2016-01-26 |
| 1508121393 | Bd O & P Inc. | Prosthetic/Orthotic Supplier | 1310 Coney Island Ave, Brooklyn, NY 11230-3521 | 2012-07-09 |
| 1568747178 | Healquest Inc | Prosthetic/Orthotic Supplier | 2455 Mcdonald Ave, Unit I, Brooklyn, NY 11223-5232 | 2011-10-14 |
| 1205127909 | Modaitalianashoesinc. | Prosthetic/Orthotic Supplier | 112avenue.u, Brooklyn, NY 11223 | 2011-04-28 |
| 1801192729 | Irene's Wigs Studio | Prosthetic/Orthotic Supplier | 1323 46th St, Level-c (basement), Brooklyn, NY 11219-2165 | 2011-02-10 |
| 1780814418 | Iwig Inc. | Prosthetic/Orthotic Supplier | 1450 40th St, Brooklyn, NY 11218-3510 | 2009-07-15 |
| 1134369390 | Aaa Home Health Care LLC. | Prosthetic/Orthotic Supplier | 199 Lee Ave Ste 382, Brooklyn, NY 11211-8036 | 2009-03-02 |
| Find all providers in BROOKLYN | ||||
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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.