MEDZ DESRAVINES (NPI# 1770131849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770131849 |
| Entity Type | Individual |
| Full Name | MEDZ DESRAVINES |
| Practice Address |
930 E Tremont Ave Bronx NY 10460-4363 |
| Mailing Address |
335 Ocean Pkwy Brooklyn NY 11218-4104 |
| Practice Telephone | 7187641633 |
| Mailing Telephone | 7188856671 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 006601-01 | NY | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 335 Ocean Pkwy, Brooklyn, NY 112184104 | 7188856671 |
| Street Address |
930 E TREMONT AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10460-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902806466 | Robert Mayes | Internal Medicine | 930 E Tremont Ave, Bronx, NY 10460-4304 | 2005-07-27 |
| 1205461902 | Pierre Zipagan Miranda | Physical Therapist | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2020-03-03 |
| 1811557846 | Diana Munoz | Nurse Practitioner | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2019-06-20 |
| 1225691249 | Usman Khan | Internal Medicine | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2019-04-16 |
| 1881161586 | Frank D Lee | Internal Medicine | 930 E Tremont Ave, 930 E Tremont Ave 930 E Tremont Ave, Bronx, NY 10460 | 2018-10-31 |
| 1396239489 | Kelly Anne Holroyd | Counselor | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2018-06-21 |
| 1912497017 | Yanka Benitez | Nurse Practitioner | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2018-05-14 |
| 1588177802 | Aliona Yezhova | Physician Assistant | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2017-11-08 |
| 1457895468 | Mark Ramos | Nurse Practitioner | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2016-12-09 |
| 1164974945 | Love Balthazar | Physician Assistant | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2016-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488044 | Alyssa Lopez | Occupational Therapy Assistant | 1909 Longfellow Ave, Bronx, NY 10460 | 2019-10-15 |
| 1730743287 | Kailey Brianne Sabel | Occupational Therapist | 1899 Longfellow Avenue, Bronx, NY 10460 | 2019-04-30 |
| 1386208585 | Audrey Lachapelle | Dentist | 1400 Pelham Parkway South, Building 1, Room 3ne-1, Bronx Jacobi Medical Center, Department Of, New York City, NY 10460 | 2019-04-24 |
| 1174093041 | Temika Codrington | Registered Nurse | 2103-5 Honeywell Ave., 3n, Bronx, NY 10460 | 2018-12-04 |
| 1306323084 | Uhc Adult Day Program & Transport Services Inc | Clinic/Center | 1490 Crotona Parkway East, Bronx, NY 10460 | 2018-07-25 |
| 1316440969 | Lcm Livery Pu Inc | Taxi | 1466 Beach Ave 12a, Bronx, NY 10460 | 2018-03-09 |
| 1104348051 | Vivianet De La Cruz | Specialist | 1909 Longfellow Avenue, Bronx, NY 10460 | 2017-07-12 |
| 1932631801 | Alquimedez Mental Health Counseling, Pllc | Counselor | 1154 East Tremont Ave., Alquimedez Mental Health Counseling, Pllc, Bronx, NY 10460 | 2017-03-30 |
| 1013463652 | Angelica Beato | Nurse Practitioner | 1154 East Tremont Avenue, Bronx, NY 10460 | 2016-09-01 |
| 1114396827 | Wendy I Valdez | Social Worker | 901 East 172nd St., 3rd Floor, Bronx, NY 10460 | 2015-09-23 |
| Find all providers in zip 10460 | ||||
| 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 |
|---|---|---|---|---|
| 1558990333 | Monica Haro Garcia | Acupuncturist | 800 Grand Concourse Apt 2en, Bronx, NY 10451-3030 | 2020-04-03 |
| 1124663448 | Steven Yong Ji | Acupuncturist | 2488 Grand Concourse Rm 206, Bronx, NY 10458-5207 | 2019-11-11 |
| 1659935088 | Bitang Li | Acupuncturist | 34 Marconi St, Bronx, NY 10461-2710 | 2019-05-01 |
| 1134623036 | Iting Wu | Acupuncturist | 2845 University Ave Apt 3h, Bronx, NY 10468-2310 | 2018-03-23 |
| 1407354194 | James J Oh | Acupuncturist | 4014 Boston Rd # A, Bronx, NY 10475-1120 | 2018-01-27 |
| 1255841953 | Courtney Vazquez | Acupuncturist | 712 Cauldwell Ave, Bronx, NY 10455-1531 | 2017-10-07 |
| 1508300823 | Joannie Campuzano Cepeda | Acupuncturist | 1325 Lafayette Ave Apt 5k, Bronx, NY 10474-6051 | 2016-12-05 |
| 1366997041 | Comprehensive Acupuncture Wellness | Acupuncturist | 531 W 235th St, Bronx, NY 10463-1795 | 2016-08-23 |
| 1386029734 | Tiferet Health Ltd | Acupuncturist | 5435 Sylvan Ave # 3, Bronx, NY 10471-2610 | 2015-07-28 |
| 1073908570 | Joyce Leung Lilly Acupuncture | Acupuncturist | 3660 Oxford Ave Apt 14d, Bronx, NY 10463-1734 | 2015-04-01 |
| Find all providers in BRONX | ||||
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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.