KATHERINE ANTZOULATOS (NPI# 1366908139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366908139 |
| Entity Type | Individual |
| Full Name | KATHERINE ANTZOULATOS |
| Credential | DPM, RD, CDN |
| Practice Address |
915 150th St Whitestone NY 11357-1653 |
| Practice Telephone | 3476420315 |
| Mailing Telephone | 3476420315 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 1000889 | NY | Dietary & Nutritional Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
N004198 | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
915 150TH ST |
| City | WHITESTONE |
| State | NY |
| Zip Code | 11357-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695438 | Christina Alvarez | Physician Assistant | 14704 8th Avenue, Whitestone, NY 11357 | 2020-10-06 |
| 1265047559 | Caitlin M Burke | Speech-Language Pathologist | 12-10 150th St, Whitestone, NY 11357 | 2020-09-13 |
| 1013548007 | Christina Nichole De Vito | Student in an Organized Health Care Education/Training Program | 15-50 14th Road, Whitestone, NY 11357 | 2020-01-29 |
| 1669956876 | Core Physical Therapy of Queens PC | Physical Therapist | 150-47b 14th Ave, Whitestone, NY 11357 | 2018-09-24 |
| 1356832307 | Nerlande A Hjardemaal | Registered Nurse | 14201 20th Ave, Flushing, NY 11357 | 2018-05-25 |
| 1114443504 | Dorothya O Thompson | Case Manager/Care Coordinator | 152-53 10th Ave, Whitestone, NY 11357 | 2017-08-17 |
| 1124540794 | Gaelle Anta Fall-koffi | Case Manager/Care Coordinator | 152-53, 10th Avenue, Suite 201, Whitestone, NY 11357 | 2017-07-14 |
| 1841729209 | Charlene Underwood | Case Management | 152-53-10th Ave, Whitestone, NY 11357 | 2017-06-08 |
| 1356880892 | Lindsay Ingenito | Student in an Organized Health Care Education/Training Program | 14203 20th Ave, Flushing, NY 11357 | 2017-02-16 |
| 1952756389 | Whiyie Alfonso Sang | Student in an Organized Health Care Education/Training Program | 154-65 10th Ave, New York, NY 11357 | 2016-05-04 |
| Find all providers in zip 11357 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289452 | Good Align Podiatry Pllc | Podiatrist | 16 W 32nd St Ste 1001, New York, NY 10001-3852 | 2019-11-13 |
| 1386286532 | Power Podiatry PC | Podiatrist | 1900 Avenue W Apt 3j, Brooklyn, NY 11229-4738 | 2019-10-09 |
| 1841848777 | New York Foot and Ankle Podiatry, Pllc | Podiatrist | 115 Broadway Fl 18, New York, NY 10006-1604 | 2019-09-04 |
| 1588220412 | Anbinder Podiatrist P.C. | Podiatrist | 2930 W 5th St Apt 12c, Brooklyn, NY 11224-3950 | 2019-05-16 |
| 1477067452 | Akselrud Podiatry Care PC | Podiatrist | 2671 E 64th St Fl 2, Brooklyn, NY 11234-6815 | 2017-11-28 |
| 1780127456 | Larrie Rockmacher Dpm LLC | Podiatrist | 272 N Bedford Road, Suite 201, Mount Kisco, NY 10549-1168 | 2016-11-29 |
| 1508241852 | Peachtree Podiatry,pllc | Podiatrist | 45 S Grove St Apt 1, East Aurora, NY 14052-2365 | 2015-07-29 |
| 1407269590 | Yolanda Stahl Dpm PC | Podiatrist | 1457 Merrick Ave, Merrick, NY 11566 | 2014-06-05 |
| 1093132953 | Andrea Schulman | Podiatrist | 2040 Ryder St, Brooklyn, NY 11234-5024 | 2014-03-27 |
| 1497185508 | Good News Podiatry Pllc | Podiatrist | 4227 164th St # 3, Flushing, NY 11358-2619 | 2013-11-26 |
| Find all providers with the same taxonomy | ||||
| City | WHITESTONE |
| Zip Code | 11357 |
Please comment or provide details below to improve the information on KATHERINE ANTZOULATOS.
| 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.