ELITE SKIN CARE NYC (NPI# 1760965453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760965453 |
| Entity Type | Organization |
| Organization Name | ELITE SKIN CARE NYC |
| Practice Address |
42 Broadway Fl 12 New York NY 10004-3892 |
| Mailing Address |
211 E 43rd St Ste 716 New York NY 10017-4707 |
| Practice Telephone | 2122037415 |
| Mailing Telephone | 2123210109 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | DMITRIY SCHWARZBURG (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2129207790 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 305 Broadway Fl 7, New York, NY 100071188 | 2123210109 |
| Street Address |
42 BROADWAY FL 12 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10004-3892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467920405 | Doris Virginia Acuna | Occupational Therapy Assistant | One Whitehall St., 9th Floor, New York, NY 10004 | 2018-11-07 |
| 1942799770 | Kylie M Becker | Speech-Language Pathologist | 7 Beaver St, New York, NY 10004 | 2018-05-07 |
| 1215458708 | Louisa Long-hei Chan | Registered Nurse | 125 Broad St # 3, New York, NY 10004 | 2017-07-05 |
| 1255861449 | Melyssa Astorga | Dentist | 11 Broadway Lbby 5, New York, NY 10004 | 2017-06-19 |
| 1912439381 | Lisa Hairston | Nurse Practitioner | 55 Broad St. 21st Floor, New York, NY 10004 | 2017-04-03 |
| 1487017042 | Dana Lynn Zwiebel | Dentist | 27 Whitehall St Fl 6, New York, NY 10004 | 2016-03-31 |
| 1942549233 | Thea Barbara Mccallion | Acupuncturist | 80 Broad Street, Suite 1401, New York, NY 10004 | 2013-02-06 |
| 1437448073 | Steven Lloyd Soignet | Internal Medicine | 55 Broad St., Suite 1840, New York, NY 10004 | 2011-04-05 |
| 1730478371 | James Bernard Dougherty Jr. | Internal Medicine | 55 Broad Street Suite 1840, Arcus Group, New York, NY 10004 | 2011-04-05 |
| 1114167871 | Alexis Pastera Penaflorida | Physical Medicine & Rehabilitation | 55 Broad Street, Suite #15f Downtown Spine Sports & Orthopedic Rehabili, New York, NY 10004 | 2009-02-20 |
| Find all providers in zip 10004 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1629600101 | Stim Acupuncture and Physical Therapy Pllc | Clinic/Center | 139 Fulton Street, Rm 208, New York, NY 10038-2538 | 2020-02-12 |
| 1811531528 | Beacon Christian Community Health Center, Inc. | Clinic/Center | 115 W 45th St Fl 4, New York, NY 10036-4005 | 2019-11-06 |
| 1629637863 | Fifth Avenue Acup Health Inc | Clinic/Center | 2 W 45th St Ste 1702, New York, NY 10036-4221 | 2019-06-11 |
| 1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
| 1932662624 | Downtown Kids Therapy Ot Pt Slp Pllc | Clinic/Center | 179 Franklin St Unit 4r, New York, NY 10013-2857 | 2019-04-09 |
| 1609347145 | Shannamd | Clinic/Center | 332 E 67th St Apt 14, New York, NY 10065-6265 | 2018-12-10 |
| 1205303591 | Logistics Health Inc. | Clinic/Center | 156 William St Fl 4, New York, NY 10038-2609 | 2018-10-25 |
| 1275018301 | Rks Surgery and Wellness PC | Clinic/Center | 67 Irving Place 10 Th Floor, New York, NY 10003 | 2018-09-25 |
| 1912417254 | Upper West Side Medical Doctor Pllc | Clinic/Center | 46 W 86th St Ste 1a, New York, NY 10024-3633 | 2017-09-30 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on ELITE SKIN CARE NYC.
| 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.