NICOLAS MAVROMOUSTAKOS (NPI# 1003440504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003440504 |
| Entity Type | Individual |
| Full Name | NICOLAS MAVROMOUSTAKOS |
| Practice Address |
14 Birch Ave Huntington NY 11743-4655 |
| Practice Telephone | 6316625714 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
14 BIRCH AVE |
| City | HUNTINGTON |
| State | NY |
| Zip Code | 11743-4655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896477 | Peter C Gaal | Behavioral Analyst | 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 | 2019-11-25 |
| 1902389299 | Taylor Bliss Dambrosio | Early Intervention Provider Agency | 38 Carnegie Ave, Huntington, NY 11743 | 2018-09-12 |
| 1639601750 | Speech and Hearing Services | Clinic/Center | 17 Brooks Ave Unit1, Huntington, NY 11743 | 2017-03-29 |
| 1174983456 | Helene Falcone | Registered Nurse | 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 | 2016-03-01 |
| 1124499470 | Thomas Hlenski | Social Worker | 4 Richard Lane, Huntington, NY 11743 | 2015-10-13 |
| 1174921308 | Jeanne Ginsberg | Counselor | 81 Knollwood Avenue, Huntington, NY 11743 | 2014-12-22 |
| 1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
| 1881096162 | Applied Health Chiropractic | Chiropractor | 12 Ash Pl, Huntington, NY 11743 | 2014-09-18 |
| 1265857643 | Ccs Medical Practice, Pllc | Public Health or Welfare | 17 Southdown Road, Huntington, NY 11743 | 2014-02-21 |
| 1255760682 | Ekaterina Femminella | Acupuncturist | 181 Main St Ste 105, Huntington, NY 11743 | 2013-11-06 |
| Find all providers in zip 11743 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1952914657 | Stamper Danielle Stamper | Student in an Organized Health Care Education/Training Program | Stephen J Kopp Hall 1538 Charleston Avenue, Huntington, WV 25755-0001 | 2020-08-24 |
| 1891314027 | Ryan Elizabeth Bonitz | Student in an Organized Health Care Education/Training Program | 9 Longview Ct, Huntington, NY 11743-1435 | 2020-04-08 |
| 1316574494 | Meg Mackenzie Riley | Student in an Organized Health Care Education/Training Program | 546 3rd St W, Huntington, WV 25701-1702 | 2020-03-26 |
| 1255979308 | Allison Bellesheim | Student in an Organized Health Care Education/Training Program | 17 Penelope Ln, Huntington, NY 11743-5910 | 2019-12-18 |
| 1922645480 | Karen Lucas | Student in an Organized Health Care Education/Training Program | 69 Worthington Rd, Huntington, MA 01050-9759 | 2019-12-04 |
| 1700427952 | Bernadette Marie Sapienza | Student in an Organized Health Care Education/Training Program | 42 Salem Ridge Dr, Huntington, NY 11743-3019 | 2019-09-30 |
| 1053961433 | Jillian Ashley Holgate | Student in an Organized Health Care Education/Training Program | 1416 4th Ave Apt 1, Huntington, WV 25701-2403 | 2019-09-17 |
| 1073161022 | Art Phillips | Student in an Organized Health Care Education/Training Program | Kopp Building, 1 John Marshall Drive, Huntington, WV 25703 | 2019-09-03 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 11743 |
Please comment or provide details below to improve the information on NICOLAS MAVROMOUSTAKOS.
| 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.