IDEAL IDTF SERVICES OF NEW YORK, INC.


Address: 4394 Broadway, New York, NY 10040-4002
Phone: 2127951221

IDEAL IDTF SERVICES OF NEW YORK, INC. (NPI# 1952601668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952601668
Entity Type Organization
Organization Name IDEAL IDTF SERVICES OF NEW YORK, INC.
Practice Address 4394 Broadway
New York
NY 10040-4002
Practice Telephone 2127951221
Mailing Telephone 2127951221
Enumeration Date 2010-10-27
Last Update Date 2010-10-27
Authorized Official Name DR. JORGE PINA (PRESIDENT)
Authorized Official Telephone 6465337790
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
Allopathic & Osteopathic Physicians
N 2085U0001X Radiology
Specialization: Diagnostic Ultrasound
Allopathic & Osteopathic Physicians
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 246Q00000X Spec/Tech, Pathology Technologists, Technicians & Other Technical Service Providers
N 246W00000X Technician, Cardiology Technologists, Technicians & Other Technical Service Providers
N 246Z00000X Specialist/Technologist, Other Technologists, Technicians & Other Technical Service Providers
N 247100000X Radiologic Technologist Technologists, Technicians & Other Technical Service Providers
N 2471B0102X Radiologic Technologist
Specialization: Bone Densitometry
Technologists, Technicians & Other Technical Service Providers
N 293D00000X Physiological Laboratory Laboratories
Y 247200000X Technician, Other Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 4394 BROADWAY
City NEW YORK
State NY
Zip Code 10040-4002

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1679814248 Zheng Zhou Psychologist 340 Cabrini Blvd, Apt 203, New York, NY 10040 2013-03-07
1710253323 Miriam P Bacon Physical Therapist 12-18 Ellwood Street, New York, NY 10040 2012-03-28
1730455593 Alyssa Marie Corr Occupational Therapist 1218 Ellwood Street, Ny, NY 10040 2012-03-27
1801160254 Claire Gordon Speech-Language Pathologist 802 West 190 St., #2-g, New York, NY 10040 2012-03-02
1548542483 Samuel Emerson Carlisle Social Worker 4530 Broadway 4e, New York, NY 10040 2011-09-16
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Taxonomy Information

Taxonomy Code 247200000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Other

Taxonomy Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984.

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1225047442 Danyal Syed Technician, Other 110 W 97th St, New York, NY 10025-6450 2006-08-05

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1144870692 Lucinda Jane Montano Technician, Other 50 Glen St Ste 316, Glen Cove, NY 11542-2701 2019-09-17
1134600620 All Neuro Testing Technician, Other 11 Balfour St, Valley Stream, NY 11580-1524 2018-08-23
1417435173 Elisebeth J Heilig Technician, Other 88 Red Mills Rd, Pine Bush, NY 12566-6213 2018-08-03
1447766449 Licura, LLC Technician, Other 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 2017-12-28
1073026746 Patrick Frey Technician, Other 3082 35th St Apt 1a, Astoria, NY 11103-4710 2017-11-15
1942740923 Jill Dworkin Bazos Technician, Other 573 Bedford Rd., 2nd Flr., Bedford Hills, NY 10507 2017-02-24
1982143780 Joy Vanderberg Technician, Other 19 N William St, Pearl River, NY 10965-2316 2017-02-14
1972041085 Lori Arnot Technician, Other 814 Riverside Dr, Clayton, NY 13624-1158 2017-02-09
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City NEW YORK
Zip Code 10040

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Dataset Information

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.

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