BLVD SKIN CLINIC (NPI# 1386988921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386988921 |
| Entity Type | Organization |
| Organization Name | BLVD SKIN CLINIC |
| Practice Address |
8635 Queens Blvd 1-a Elmhurst NY 11373-4434 |
| Practice Telephone | 9179433682 |
| Mailing Telephone | 9179433682 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |
| Authorized Official Name | TRACEY DE COSTA BYER (ACUPUNCTURIST) |
| Authorized Official Telephone | 9179433682 |
| Authorized Official Credential | L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 004720 | NY | Other Service Providers |
| Street Address |
8635 QUEENS BLVD 1-A |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067483 | Yong R Kim | Family Medicine | 8635 Queens Blvd, Suite1e, Elmhurst, NY 11373-4434 | 2005-10-14 |
| 1134739493 | Svc of Elmhurst LLC | Eyewear Supplier (Equipment, not the service) | 8635 Queens Blvd, Elmhurst, NY 11373-4434 | 2020-08-03 |
| 1578180881 | Leidy Tatiana Velilla | Physical Therapist | 8635 Queens Blvd, Elmhurst, NY 11373-4434 | 2020-07-02 |
| 1336509058 | Shipra Chokshi | Physical Therapist | 8635 Queens Blvd, Suite 1b, Elmhurst, NY 11373-4434 | 2016-02-24 |
| 1730547472 | Shail Ishan Shah | Physical Therapist | 8635 Queens Blvd, Suite 1b, Elmhurst, NY 11373-4434 | 2016-02-09 |
| 1942685649 | Comprehensive Diagnostic Imaging Services P.C. | Radiology | 8635 Queens Blvd, Suite 2lm, Elmhurst, NY 11373-4434 | 2015-07-23 |
| 1902214208 | Ann Sharon Winter | Technician/Technologist | 8635 Queens Blvd, Suite 1d, Elmhurst, NY 11373-4434 | 2014-07-30 |
| 1558700617 | Wise Choice Physical Therapy, P.c | Physical Therapist | 8635 Queens Blvd, Suite 1b, Elmhurst, NY 11373-4434 | 2013-06-21 |
| 1487098679 | Cardio Vascular Diagnostics PC | Internal Medicine | 8635 Queens Blvd, Suite 2lm, Elmhurst, NY 11373-4434 | 2013-04-18 |
| 1417298530 | Dalmacio Francisco, Md, PC | Internal Medicine | 8635 Queens Blvd, Suite 1b, Elmhurst, NY 11373-4434 | 2013-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322545 | Florid Leisure Acupuncture PC. | Acupuncturist | 8812 Queens Blvd Ste 6, Elmhurst, NY 11373-4489 | 2020-10-07 |
| 1558902155 | Katherine Jian Lai | Acupuncturist | 134 N York St, Elmhurst, IL 60126-2806 | 2019-10-04 |
| 1558824706 | Yi Zhang | Acupuncturist | 4321 Forley St, Elmhurst, NY 11373-2746 | 2019-04-12 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| 1205325875 | Howard Tso | Acupuncturist | 4401 76th St, Elmhurst, NY 11373-2941 | 2018-05-08 |
| 1427558378 | Ao Wang | Acupuncturist | 8120 Dongan Ave # 2f, Elmhurst, NY 11373-3731 | 2018-02-16 |
| 1780055855 | Karen Stringer | Acupuncturist | 120 N York St Ste 110, Elmhurst, IL 60126-2826 | 2015-10-14 |
| 1982015046 | Way2health Physical Therapy | Acupuncturist | 4115 75th St, Suite 2, Elmhurst, NY 11373-1811 | 2014-05-12 |
| 1043631021 | Paul Minseok Tak | Acupuncturist | 8655 Broadway Ste C4, Elmhurst, NY 11373-5868 | 2013-12-18 |
| 1235550435 | Luz Munoz | Acupuncturist | 4026 82nd St, Elmhurst, NY 11373-1306 | 2013-12-16 |
| Find all providers in ELMHURST | ||||
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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.