MEDICAL PRACTICE NY PC (NPI# 1023251261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023251261 |
| Entity Type | Organization |
| Organization Name | MEDICAL PRACTICE NY PC |
| Practice Address |
5 W 86th St Apt 1c New York NY 10024-3663 |
| Practice Telephone | 2128740143 |
| Mailing Telephone | 2128740143 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2010-11-23 |
| Authorized Official Name | MS. YELENA MAMEDOVA-BRAZ (OWNER) |
| Authorized Official Telephone | 2128740143 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
185185 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01274024 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437494648 | Medical Practice Ny PC | Psychologist | 6923 168th St, Fresh Meadows, NY 11365-3213 | 2012-11-29 |
| Street Address |
5 W 86TH ST APT 1C |
| City | NEW YORK |
| State | NY |
| Zip Code | 10024-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841797420 | Susan F Epstein Phd, Licensed Psychologist Pllc | Clinic/Center | 5 W 86th St Apt 1c, New York, NY 10024-3663 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023646387 | Peter Avery | Psychologist | 230 Central Park West, First Floor, #5, New York, NY 10024 | 2020-03-31 |
| 1417588526 | Amelia Rogers Lindberg | Physical Therapist | 230 West 79th Street, Apt 124s, New York, NY 10024 | 2020-01-28 |
| 1720636640 | By Your Side Services Licensed Applied Behavior Analyst Practice Pllc | Community/Behavioral Health | 105 W. 86th Street, #228, New York, NY 10024 | 2019-09-04 |
| 1407408453 | Barbara Bessin Zucker | Social Worker | 565 West End Ave. - Suite 1a, New York, NY 10024 | 2019-07-10 |
| 1609337815 | Pratistha Maharjan | Physical Therapist | 86th Street, 2w #1, Manhattan, NY 10024 | 2019-03-29 |
| 1396215968 | Sara Kahn | Nutritionist | 267 W. 89th Street Apt 5a, New York, NY 10024 | 2018-11-27 |
| 1205311586 | Matthew Ludwig Spieler | Psychologist | 255 W 88th St Apt 9e, New York, NY 10024 | 2018-10-02 |
| 1629576475 | Christopher Eldredge | Social Worker | 52 Riverside Drive, Suite 1a, New York, NY 10024 | 2018-01-26 |
| 1154850717 | Anthony William Zoghbi Md | Psychiatry & Neurology | 140 West 79th Street, Suite 1f-2, New York, NY 10024 | 2017-06-07 |
| 1821526955 | Noel Bohl-fabian | Social Worker | 140 W 79th St Apt 2b, New York, NY 10024 | 2017-06-02 |
| Find all providers in zip 10024 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1639791924 | Sanctuary Aso LLC | Clinic/Center | 57 W 57th St Ste 1101, New York, NY 10019-2814 | 2020-05-11 |
| 1548802770 | Christopher Bandini, Inc | Clinic/Center | 303 5th Ave Rm 1703, New York, NY 10016-6641 | 2019-10-09 |
| 1407418379 | Housing Works Services, Inc. | Clinic/Center | 743- East 9th Street, Omh Department, New York, NY 10009 | 2019-07-01 |
| 1184196644 | Gab Brands, LLC | Clinic/Center | 505 W 54th St Apt 713, New York, NY 10019-5059 | 2018-12-21 |
| 1164994786 | Frameworks Counseling Lcsw P.C. | Clinic/Center | 125 E 23rd St Fl 5, New York, NY 10010-4581 | 2018-12-20 |
| 1265931984 | Nyc Therapeutic Wellness | Clinic/Center | 303 5th Ave Rm 606, New York, NY 10016-6685 | 2018-02-08 |
| 1447707146 | Gary M Prottas, Lcsw Psychotherapist Pllc | Clinic/Center | 20 West 20th Street, Room 239, New York, NY 10011-4313 | 2016-09-09 |
| 1881043370 | Margaret M. Rombone, Ph.d. | Clinic/Center | 51 E 25th St Ste 7h, New York, NY 10010-8209 | 2016-06-06 |
| 1003270224 | Peter Reznik | Clinic/Center | 1641 3rd Ave Ste 201, New York, NY 10128-3623 | 2016-04-13 |
| 1417313024 | Jerome Boling | Clinic/Center | 2090 7th Ave Fl 4, New York, NY 10027-4941 | 2016-01-12 |
| Find all providers in NEW YORK | ||||
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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.