LARISA JDANOVA (NPI# 1649689977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649689977 |
Entity Type | Individual |
Full Name | LARISA JDANOVA |
Other Name | LARISA JDANOVA |
Credential | MSDE |
Practice Address |
1580 Dahill Rd Fl 2 Brooklyn NY 11204-3573 |
Mailing Address |
55 Racal Ct Fl 3 Staten Island NY 10314-5831 |
Practice Telephone | 7183752505 |
Practice Fax Number | 7183752472 |
Mailing Telephone | 3472724898 |
Enumeration Date | 2014-08-12 |
Last Update Date | 2014-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 2598598 | NY | Other Service Providers |
Street Address |
1580 DAHILL RD FL 2 |
City | BROOKLYN |
State | NY |
Zip Code | 11204-3573 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710132410 | Michelle Marie Tiflinsky | Occupational Therapist | 1580 Dahill Rd Fl 2, Brooklyn, NY 11204-3537 | 2008-11-21 |
1164829461 | Elina Fedorenko | Case Manager/Care Coordinator | 1580 Dahill Rd Fl 2, Brooklyn, NY 11204-3573 | 2014-12-02 |
1407272040 | Anna Rozengauz | Social Worker | 1580 Dahill Rd Fl 2, Brooklyn, NY 11204-3573 | 2014-03-06 |
1063843787 | Anna Eydlina | Case Manager/Care Coordinator | 1580 Dahill Rd Fl 2, Brooklyn, NY 11204-3573 | 2013-12-05 |
1689914467 | Viktoriya Shain | Case Manager/Care Coordinator | 1580 Dahill Rd Fl 2, Brooklyn, NY 11204-3537 | 2013-02-15 |
1659633683 | Lena Bernatsky | Specialist | 1580 Dahill Rd Fl 2, Brooklyn, NY 11204-3537 | 2012-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215577564 | Miriam Levin | Social Worker | 5309 18th Avenue, Brooklyn, NY 11204 | 2020-01-14 |
1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
1477019990 | Daniel Silberstein | Physical Therapist | 1767 48th Street, Brooklyn, NY 11204 | 2019-02-20 |
1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
1417462318 | Betzalel Rabinowitz Np In Family Health, Pllc | Nurse Practitioner | 5911b 16th Ave, Brooklyn, NY 11204 | 2017-12-13 |
1588176648 | Giga Gambashidze | Physical Therapy Assistant | 1556 W 8th St, Apt 2, Brooklyn, NY 11204 | 2017-10-30 |
1871011015 | Rebecca Aida Nuzzi | Speech-Language Pathologist | 4715 18th Avenue, Brooklyn, NY 11204 | 2017-09-08 |
1245751882 | Wise Medical Ny PC | Optometrist | 5918 18th Ave Ste 3, Brooklyn, NY 11204 | 2017-07-05 |
1619498326 | Keisha Simmons | Licensed Practical Nurse | 703 Van Silcen Ave, Brooklyn, NY 11204 | 2017-07-03 |
1790205508 | Enas Ahmed | Physical Therapist | 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 | 2017-06-22 |
Find all providers in zip 11204 |
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 |
---|---|---|---|---|
1225639099 | Munisa Mukhamatkulova | Specialist | 1133 E 73rd St, Brooklyn, NY 11234-5409 | 2020-11-06 |
1699376251 | Ilona Gamer | Specialist | 2525 E 23rd St, Brooklyn, NY 11235-2505 | 2020-11-02 |
1043818545 | Doris Gonzalez-rivera | Specialist | 5610 Avenue T, Brooklyn, NY 11234-4724 | 2020-10-15 |
1023625936 | Chaya R Zaetz | Specialist | 797 Maple St, Brooklyn, NY 11203-1312 | 2020-09-24 |
1801402060 | Discover Licensed Behavior Analyst Pllc | Specialist | 1350 55th St, Brooklyn, NY 11219-4213 | 2020-09-22 |
1114533320 | Yocheved Gershonowitz | Specialist | 1694 E 7th St, Brooklyn, NY 11223-2216 | 2020-09-22 |
1992311260 | Sherry A Valentine | Specialist | 1937 Bay Ridge Ave Apt 3r, Brooklyn, NY 11204-4546 | 2020-09-21 |
1609481670 | Celina Stolpen | Specialist | 2527 E 27th St, Brooklyn, NY 11235-2016 | 2020-09-15 |
1386259760 | Elina Khamish | Specialist | 155 Oceana Dr E Apt 3g, Brooklyn, NY 11235-6684 | 2020-09-11 |
1053925263 | Michelle Shneyder | Specialist | 2111 Voorhies Ave, Brooklyn, NY 11235-2817 | 2020-09-04 |
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.