DR. BRAZ BORTOT (NPI# 1396988572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396988572 |
| Entity Type | Individual |
| Full Name | DR. BRAZ BORTOT |
| Credential | M.D. |
| Practice Address |
8728 Santiago St Hollis NY 11423-1120 |
| Practice Telephone | 7187400395 |
| Mailing Telephone | 7187400395 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 115972 | NY | Other Service Providers |
| Street Address |
8728 SANTIAGO ST |
| City | HOLLIS |
| State | NY |
| Zip Code | 11423-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112668 | Mandip Kaur | Student in an Organized Health Care Education/Training Program | 89 - 06 - 188 Street, First Floor, Hollis, NY 11423 | 2019-12-23 |
| 1437633690 | Lisa Martins-mueller | Speech-Language Pathologist | 90-11 191 St Avenue, Nyc School District 29 Superintendents Office, Hollis, NY 11423 | 2018-09-23 |
| 1114407491 | Moamen Mohamed Hassanen | Physical Therapist | 204-12 Hillside Ave, Hollis, NY 11423 | 2018-08-16 |
| 1114403730 | Favour Osemwota | Licensed Practical Nurse | 10036 203rd St, Hollis, NY 11423 | 2018-07-17 |
| 1417448234 | Hollis Primary Care P.C. | Internal Medicine | 196 22 Hillside Ave, Hollis, NY 11423 | 2018-05-29 |
| 1801309984 | Roh Physical Therapy P.C. | Clinic/Center | 205-16 Jamaica Ave, Hollis, NY 11423 | 2017-11-10 |
| 1780113167 | Lissamma George | Registered Nurse | 88 45 199 Street, Queens, NY 11423 | 2017-06-08 |
| 1881121499 | Calvin Wu | Case Manager/Care Coordinator | 8762 188th Street, Hollis, NY 11423 | 2017-05-12 |
| 1932635182 | Lauren Irene Sutherland | Licensed Practical Nurse | 10216 Farmers Blvd, Hollis, NY 11423 | 2017-05-10 |
| 1023541190 | Gwyneth Julien-squire | Licensed Practical Nurse | 190-25 Woodhull Apt. 3h, Hollis, NY 11423 | 2017-04-06 |
| Find all providers in zip 11423 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796624 | Hodaya Ezra | Specialist | 8679 Palermo St, Hollis, NY 11423-1201 | 2020-09-25 |
| 1447884317 | Kamini Baichu | Specialist | 9102 181st St, Hollis, NY 11423-2312 | 2020-02-28 |
| 1407399199 | S & L Med Solutions Inc | Specialist | 19550 Jamaica Ave, Hollis, NY 11423-2664 | 2016-11-29 |
| 1205203767 | Mira Aronova | Specialist | 18814 Mclaughlin Ave, Hollis, NY 11423-1138 | 2015-08-31 |
| 1629469283 | Karen Rossi | Specialist | 8943 196th St, Hollis, NY 11423-2032 | 2015-02-17 |
| 1306276720 | Karolanetta Smith | Specialist | 196-31 Dunton Ave., Hollis, NY 11423 | 2013-11-21 |
| 1548696891 | Alishaa Ali | Specialist | 9302 205th St, Hollis, NY 11423-3030 | 2013-09-18 |
| 1386908838 | Judy Shulman | Specialist | 8663 Pinto St, Hollis, NY 11423-1245 | 2012-06-29 |
| 1174886634 | Shaneeza Rahim | Specialist | 8910 181st St, Hollis, NY 11423-1730 | 2012-06-20 |
| 1114289758 | Mariuxi Andraca | Specialist | 19633 Foothill Ave, 2floor, Hollis, NY 11423 | 2012-06-11 |
| Find all providers in HOLLIS | ||||
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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.