JERI LATRICE CRENSHAW (NPI# 1013071091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013071091 |
| Entity Type | Individual |
| Full Name | JERI LATRICE CRENSHAW |
| Credential | P.A |
| Practice Address |
3244 31st St Astoria NY 11106-2630 |
| Practice Telephone | 7189566565 |
| Practice Fax Number | 7189567463 |
| Mailing Telephone | 7189566565 |
| Mailing Fax Number | 7189567463 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 009329 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 009329 | 01 |
| Street Address |
3244 31ST ST |
| City | ASTORIA |
| State | NY |
| Zip Code | 11106-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790294 | Thiago Ramos Alexandre | Physical Therapist | 3244 31st St, Astoria, NY 11106-2561 | 2020-11-03 |
| 1841806528 | Emily Elizabeth Vandervort | Physical Therapist | 3244 31st St, Astoria, NY 11106-2561 | 2020-09-18 |
| 1902428717 | Viktoriya Kulyk | Physical Therapist | 3244 31st St, Astoria, NY 11106-2561 | 2020-05-14 |
| 1154835957 | Anoop Chacko | Physical Therapist | 3244 31st St, Astoria, NY 11106-2561 | 2017-12-01 |
| 1619492865 | Oluwaseun D Ajifowobaje | Physical Therapist | 3244 31st St, Astoria, NY 11106-2561 | 2017-08-09 |
| 1407385081 | Khyati Vijay Bhayani | Physical Therapist | 3244 31st St, Astoria, NY 11106-2561 | 2017-06-07 |
| 1891238135 | Physiocare Physical Therapy | Physical Therapist | 3244 31st St, Astoria, NY 11106-2561 | 2016-11-18 |
| 1396173027 | Miriam Szachtel | Physical Therapist | 3244 31st St, Astoria, NY 11106-2561 | 2013-10-15 |
| 1992132039 | Mary Paches | Specialist | 3244 31st St, Astoria, NY 11106-2561 | 2013-10-03 |
| 1790944981 | Dimirtios Kostopoulos Ptpc | Physical Therapist | 3244 31st St, Astoria, NY 11106-2644 | 2008-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492303 | Faizal Hussein | Physical Therapist | 3244 31st Street, Queens, NY 11106 | 2020-09-18 |
| 1730706086 | Stephanie J Coleman | Counselor | Enable My Child, 3545 28 St, Astoria, NY 11106 | 2020-07-02 |
| 1144870056 | Theresa Pizinger | Nurse Practitioner | 3157 31st St, Phf, Long Island City, NY 11106 | 2019-09-13 |
| 1881164564 | Adam Christopher Maslowski | Social Worker | 34-11 Vernon Blvd., Long Island City, NY 11106 | 2018-11-26 |
| 1730675273 | Astoria Dental Broadway | Dentist | 31-72 31st St, Suite #1, Astoria, NY 11106 | 2018-07-09 |
| 1225552037 | Joslynn Ramos | Social Worker | 14-15 Broadway, Astoria, NY 11106 | 2017-08-02 |
| 1790208791 | Sheilla Jean Baptiste Hadid | Prevention Professional | 34 59 Vernon Blvd Apt 1f, Astoria, NY 11106 | 2017-07-21 |
| 1396267225 | Serena Cisneros | Counselor | 34-25 Vernon Blvd, Long Island City, NY 11106 | 2017-07-12 |
| 1538689302 | Dara Michelle Lazar | Massage Therapist | 14-17 31st Avenue, Apt 2b, Astoria, NY 11106 | 2017-06-22 |
| 1093241143 | Kimlong Chan | Student in an Organized Health Care Education/Training Program | 2320 31st Avenue, Astoria, NY 11106 | 2017-05-11 |
| Find all providers in zip 11106 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194369686 | Misha Chishty | Physician Assistant | 2213 26th St, Astoria, NY 11105-3151 | 2019-10-29 |
| 1205321023 | Sindi Petushi | Physician Assistant | 2318 31st St Ste 302, Astoria, NY 11105-2765 | 2018-06-25 |
| 1386156479 | Sara Missaoui | Physician Assistant | 2510 30th Rd, Astoria, NY 11102-2601 | 2017-10-29 |
| 1417476029 | Kenyon Jay Solecki | Physician Assistant | 2120 Exchange St Ste 111, Astoria, OR 97103-3366 | 2017-09-14 |
| 1154843076 | Stefania Anne Vendome | Physician Assistant | 23-38 28th Street, Astoria, NY 11105 | 2017-07-12 |
| 1427507185 | Rachel Lee Flescher | Physician Assistant | 2158 Exchange St Ste 107, Astoria, OR 97103-3316 | 2016-09-22 |
| 1316317985 | Rachel Deir | Physician Assistant | 3165 46th St, Astoria, NY 11103-1642 | 2015-09-25 |
| 1942678578 | Veronica Elizabeth Suarez | Physician Assistant | 2347 Crescent St, Astoria, NY 11105-3107 | 2015-09-14 |
| 1720409824 | Patrick John Kelly | Physician Assistant | 3318 Broadway, Astoria, NY 11106-1806 | 2013-12-17 |
| 1124337795 | Peter Gyuratz | Physician Assistant | 3111 Steinway St, Astoria, NY 11103-3908 | 2010-09-30 |
| Find all providers in ASTORIA | ||||
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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.