DR. SHANA LABORDE (NPI# 1962856328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962856328 |
| Entity Type | Individual |
| Full Name | DR. SHANA LABORDE |
| Credential | M.D. |
| Practice Address |
1265 Fulton Ave Bronx NY 10456-3401 |
| Mailing Address |
3198 Grand Concourse Bronx NY 10458-1000 |
| Practice Telephone | 7185797000 |
| Practice Fax Number | 7182996797 |
| Mailing Telephone | 7186180401 |
| Mailing Fax Number | 7187954394 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2017-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | P01015 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1265 FULTON AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10456-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245327907 | Jyoti S Drall | Physical Therapist | 1265 Fulton Ave, Bronx, NY 10456-3401 | 2006-10-06 |
| 1477040947 | Robert Duran | Pharmacist | 1265 Fulton Ave, Bronx, NY 10456-3401 | 2018-04-19 |
| 1417498361 | Ali Golparvar | Nursing Home Administrator | 1265 Fulton Ave, Bronx, NY 10456-3401 | 2017-03-11 |
| 1629514344 | Smitha Chavali | General Practice | 1265 Fulton Ave, Bronx, NY 10456-3401 | 2017-01-19 |
| 1134364532 | Maureen Mary Yunkap Kwankam | Family Medicine | 1265 Fulton Ave, Bronx, NY 10456-3401 | 2008-12-13 |
| 1639255797 | Bronxcare Special Care Center | Pharmacy | 1265 Fulton Ave, Bronx, NY 10456 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778281 | Danielle O'reggio Nurse Practicioner In Family Health P.C. | Nurse Practitioner | 1200 Webster Ave., Bronx, NY 10456 | 2020-04-03 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1174163430 | Emmanuel Guzman | Speech-Language Pathologist | 968 Cauldwell Avenue Rm 307, Bronx, NY 10456 | 2020-01-14 |
| 1154988194 | Arun George Prasad | Student in an Organized Health Care Education/Training Program | 1276 Fulton Avenue, Bronxcare Health System-fulton Divi, Psychiatry Residency, 5th Floor, Bronx, NY 10456 | 2019-05-24 |
| 1619431574 | Soroush Pakniyat-jahromi | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 | 2019-01-24 |
| 1548745078 | Danielle Renee O'reggio | Nurse Practitioner | 1210 Webster Ave, Bronx, NY 10456 | 2018-10-01 |
| 1154830537 | Renee Lucette Mills | Counselor | 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 | 2017-09-28 |
| 1487177572 | Webster Urgent Care, P.C. | Clinic/Center | 1210 Webster Avenue, Bronx, NY 10456 | 2017-07-20 |
| 1508395864 | Cheryl Roxann Camp | Counselor | 530 East 169th Street, Apt. 10e, Bronx, NY 10456 | 2017-06-08 |
| 1336683465 | Lorraine Dukes | Health Educator | 778 Forest Ave., P17x, Bronx, NY 10456 | 2016-12-08 |
| Find all providers in zip 10456 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710497466 | Cautious Care Medical, P.C. | General Practice | 3250 Westchester Ave Rm 101, Bronx, NY 10461-4548 | 2017-10-09 |
| 1962884700 | Yaser Baghdadi | General Practice | 3636 Waldo Ave Apt 5e, Bronx, NY 10463-2248 | 2015-06-28 |
| 1578975827 | Core Essentials Medical P.C. | General Practice | 3630 East Tremont Ave, Bronx, NY 10465 | 2014-05-21 |
| 1336583483 | Opeoluwa O Eleyinafe | General Practice | 1975 Walton Ave, Bronx, NY 10453-4700 | 2013-04-19 |
| 1972849560 | Dare I Adeyele | General Practice | 2015 Grand Concourse, Essen Medical, Bronx, NY 10453-8648 | 2012-12-31 |
| 1689908055 | Ss Medical Care, PC | General Practice | 961 E 174th St, Suite 18, Bronx, NY 10460-5060 | 2009-10-01 |
| 1396888624 | Anwar N Aziz | General Practice | 3887 Pratt Avenue, Bronx, NY 10466-5930 | 2007-02-15 |
| 1326112020 | Seung Gi Kim | General Practice | 785 Westchester Ave, Bronx, NY 10455-1722 | 2006-11-17 |
| 1346339918 | Kuan P Chiu | General Practice | 534 E 138th St, Bronx, NY 10454 | 2006-10-12 |
| 1427152149 | Maria Anna Lieber | General Practice | James J Peters Va Medical Center, Bronx, NY 10468-3942 | 2006-09-12 |
| 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.