MS. EBONY S PRESCOTT


Address: 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027
Phone: 3476002298

MS. EBONY S PRESCOTT (NPI# 1003383456) 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) 1003383456
Entity Type Individual
Full Name MS. EBONY S PRESCOTT
Credential PRACTITIONER
Practice Address 2130 Adam Clayton Powell Blvd
Phenix Salon Suites, Suite #114
Ny
NY 10027
Mailing Address 1500 Boone Ave Apt 1h
Bronx
NY 10460-6059
Practice Telephone 3476002298
Enumeration Date 2018-10-24
Last Update Date 2019-11-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
AEC-17-05264 NY Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
256 E 135th St Fl 2, Bronx, NY 104544300 3476002298

Office Location

Street Address 2130 ADAM CLAYTON POWELL BLVD
PHENIX SALON SUITES, SUITE #114
City NY
State NY
Zip Code 10027

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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1861024697 Nicola Forbes Martin Specialist 560 Hempstead Ave Unit A, West Hempstead, NY 11552-2934 2020-02-10
1942843123 Belinda B Wilkinson Viii Specialist 1081 Route 55, Lagrangeville, NY 12540-5004 2019-10-21
1912566043 Lavida Barkley Specialist 1305 Nott St, Schenectady, NY 12308-2618 2019-06-12
1336610716 Dian Ann Scarlet Specialist 89-28 Merrick Blvd, Jamaica, NY 11433 2018-12-11
1053882654 Merrie Wellesley Specialist 24 Birch Ln, Valley Stream, NY 11581-1731 2018-12-09
1972074573 Thalia Suglam Specialist 12517 9th Ave, College Point, NY 11356-1219 2018-12-09
1477024974 Tawanna Thomas Specialist 2961 Fulton St, Brooklyn, NY 11208-1049 2018-12-09
1699246298 Yvette Campbell Specialist 730 Vernon Ave, North Bellmore, NY 11710-1336 2018-12-09
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Competitor

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City NY
Zip Code 10027

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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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