MS. LILLIAN LIDUVINA VALLE (NPI# 1811050289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811050289 |
| Entity Type | Individual |
| Full Name | MS. LILLIAN LIDUVINA VALLE |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1111 Amsterdam Avenue St Lukes Roosevelt Hospital Center Medical Clinic New York NY 10025 |
| Mailing Address |
100 West 105th Street #d3 New York NY 10025 |
| Practice Telephone | 2125234415 |
| Practice Fax Number | 2125234554 |
| Mailing Telephone | 2125234415 |
| Mailing Fax Number | 2125234554 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
2834171 | NY | Nursing Service Providers |
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F3002971 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1111 AMSTERDAM AVENUE ST LUKES ROOSEVELT HOSPITAL CENTER MEDICAL CLINIC |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740216670 | Madhuri Kirpekar | Radiology | 1111 Amsterdam Avenue, New York, NY 10025 | 2006-06-23 |
| 1780188201 | Olga Esther Paniagua | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Avenue, Dept. of Anesthesiology, New York, NY 10025-1716 | 2018-03-20 |
| 1639602055 | David Jeffery Smith | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Avenue, New York, NY 10025 | 2017-04-04 |
| 1124497912 | Icahn School of Medicine At Mount Sinai | Surgery | 1111 Amsterdam Avenue, New York, NY 10002 | 2015-09-22 |
| 1871962738 | Icahn School of Medicine At Mount Sinai | Pediatrics | 1111 Amsterdam Avenue, New York, NY 10025 | 2015-09-22 |
| 1477958007 | St Lukes-roosevelt Hospital Center | Dermatology | 1111 Amsterdam Avenue, New York, NY 10025 | 2014-10-24 |
| 1740549229 | Scott Warhit | Psychiatry & Neurology | 1111 Amsterdam Avenue, Department of Psychiatry, New York, NY 10025 | 2012-05-03 |
| 1649570151 | Rishi Malhan | Internal Medicine | 1111 Amsterdam Avenue, New York, NY 10025-1251 | 2010-10-31 |
| 1508001405 | St. Lukes Roosevelt Hospital Center | Psychiatric Unit | 1111 Amsterdam Avenue, New York, NY 10025-1716 | 2008-12-05 |
| 1629225479 | Christopher Michael Reverte | Emergency Medicine | 1111 Amsterdam Avenue, New York, NY 10025 | 2008-08-23 |
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|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245869106 | Johnsonie Casimyr | Registered Nurse | 323 E 92nd St, New York, NY 10128-5425 | 2020-04-03 |
| 1447415765 | Elena M Dela Cruz Pe | Registered Nurse | One Gustave Levy Place #1054, Mount Sinai Medical Center, New York, NY 10029-6574 | 2008-07-25 |
| 1144485111 | Magdalena Singson | Registered Nurse | 1 Gustave Levy Place, Fifth Avenue, New York, NY 10029-6501 | 2008-07-18 |
| 1063042737 | Chandra Lall | Registered Nurse | 305 W 44th St, New York, NY 10036-5407 | 2020-01-22 |
| 1134781438 | Robin Rosemarie Ravenel | Registered Nurse | 305 W 44th St, New York, NY 10036-5407 | 2019-07-08 |
| 1497245955 | Katherine Gabriela Harrington-moroney | Registered Nurse | 161 Fort Washington Ave, New York, NY 10032-3729 | 2018-05-10 |
| 1518466838 | Abigail Morrissey | Registered Nurse | 726 Broadway, New York, NY 10003-9616 | 2018-02-02 |
| 1225481773 | Erika M Cabrera | Registered Nurse | 241 W 57th St, New York, NY 10019-2121 | 2016-07-20 |
| 1265887988 | Kymara Kyng | Registered Nurse | 462 1st Ave, 7n24, New York, NY 10016-9198 | 2016-05-02 |
| 1215365713 | Carissa Borton | Registered Nurse | 133 Morningside Ave, New York, NY 10027-4802 | 2013-10-18 |
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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.