FREDERICK HAZLETT (NPI# 1306223540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306223540 |
| Entity Type | Individual |
| Full Name | FREDERICK HAZLETT |
| Credential | LMT |
| Practice Address |
1213 Conklin Rd Conklin NY 13748-1405 |
| Practice Telephone | 6077750178 |
| Mailing Telephone | 6077750178 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 012761-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1213 CONKLIN RD |
| City | CONKLIN |
| State | NY |
| Zip Code | 13748-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646290 | Kaethe Beth Mitchell | Registered Nurse | Susquehanna Valley High School, 1040 Conklin Rd, Conklin, NY 13748 | 2019-08-29 |
| 1447523451 | Catherine Margret Mcgowan | Registered Nurse | 1050 Conklin Road, Susquehanna Valley Central School District, Conklin, NY 13748 | 2012-02-22 |
| 1467786236 | Colleen Anne Naylor | Registered Nurse | 1168 Conklin Rd, Conklin, NY 13748 | 2009-09-28 |
| 1720697014 | Annheleen Amy Smith | Social Worker | 1102 Conklin Road, Conklin, NY 13748 | 2020-07-23 |
| 1821003260 | Progressive Dental, Pllc | Dentist | 703 Conklin Rd, Conklin, NY 13748-0198 | 2006-07-31 |
| 1033256698 | Cheryl Ann Ganz | Dentist | 703 Conklin Rd, Conklin, NY 13748-0198 | 2007-01-31 |
| 1437241817 | Jennifer Long Redmore | Dentist | 703 Conklin Rd, Conklin, NY 13748-0198 | 2006-09-29 |
| 1013923465 | Herman Sonny Spera IIi | Dentist | 703 Conklin Rd, Conklin, NY 13748-0198 | 2006-07-31 |
| 1831430933 | Deeley Physical Therapy, PC | Clinic/Center | 970 Conklin Rd., Conklin, NY 13748-1133 | 2013-03-14 |
| 1710223193 | Evelyn M Deeley | Physical Therapist | 1070 Conklin Rd, Conklin, NY 13748-1133 | 2012-12-12 |
| Find all providers in zip 13748 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.