ANDREW MOULDOVAN (NPI# 1033415625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033415625 |
| Entity Type | Individual |
| Full Name | ANDREW MOULDOVAN |
| Credential | MSW |
| Practice Address |
8002 Kew Gardens Rd Kew Gardens NY 11415-3600 |
| Mailing Address |
Po Box 31094 Hartford CT 06150-1094 |
| Practice Telephone | 7185201513 |
| Practice Fax Number | 7185206460 |
| Mailing Telephone | 5189528140 |
| Mailing Fax Number | 5189528287 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
8002 KEW GARDENS RD |
| City | KEW GARDENS |
| State | NY |
| Zip Code | 11415-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124090071 | Stephen Dong | Optometrist | 8002 Kew Gardens Rd, Suite C-108, Kew Gardens, NY 11415-3600 | 2006-02-06 |
| 1154883726 | Shaneka Lakeisha Nixon | Counselor | 8002 Kew Gardens Rd, Kew Gardens, NY 11415-3600 | 2019-04-03 |
| 1710454582 | Jodian Downer | Nursing Care | 8002 Kew Gardens Rd, Kew Gardens, NY 11415-3600 | 2018-10-30 |
| 1366950503 | Naomy Darius | Licensed Practical Nurse | 8002 Kew Gardens Rd, Kew Gardens, NY 11415-3600 | 2018-01-22 |
| 1760928592 | Ellen Mcbride | Registered Nurse | 8002 Kew Gardens Rd, Suite# 303, Kew Gardens, NY 11415-3600 | 2017-01-18 |
| 1659814929 | Stamatoula Georgiou | Psychologist | 8002 Kew Gardens Rd, Concourse Level, Suite 102, Kew Gardens, NY 11415-3600 | 2016-11-18 |
| 1437691854 | Johnny Park | Physical Therapist | 8002 Kew Gardens Rd, Kew Gardens, NY 11415-3600 | 2016-11-16 |
| 1528510088 | Kayrene Farmer | Licensed Practical Nurse | 8002 Kew Gardens Rd, #303, Kew Gardens, NY 11415-3600 | 2016-11-01 |
| 1427509868 | Matthiessen Condy | Social Worker | 8002 Kew Gardens Rd, Kew Gardens, NY 11415-3600 | 2016-10-20 |
| 1851841423 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 8002 Kew Gardens Rd, 4th Floor, Kew Gardens, NY 11415-3600 | 2016-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492519 | Si Physical Therapy | Clinic/Center | 119-60 Metropolitan Ave, Kew Gardens, NY 11415 | 2020-09-17 |
| 1760036073 | Alina Alayev | Nurse Practitioner | 123-60 83rd Ave 11d, Kew Gardens, NY 11415 | 2019-07-25 |
| 1659860435 | Karolina Pinkhasova | Developmental Therapist | 11917 83rd Ave, Kew Gardens, NY 11415 | 2018-05-07 |
| 1508395989 | Hiral Patel | Physician Assistant | 125-10 Queens Blvd, Suite 2701, Kew Gardens, NY 11415 | 2017-06-08 |
| 1912432147 | Jessica Stefanie Minsky | Speech-Language Pathologist | 82-34 Kew Gardens Rd, Kew Gardens, NY 11415 | 2017-04-25 |
| 1629426697 | Muhammad Usman | Physical Therapist | 8526 126th St Fl 2, Kew Gardens, NY 11415 | 2016-05-31 |
| 1598126260 | Chinonye Benjamin | Licensed Practical Nurse | 85-35 Leffert Blvd, Kew Gardens, Queens, NY 11415 | 2016-03-09 |
| 1730559105 | Mohamed Abaza | Physical Therapist | 119-05 80th Road, Kew Gardens, NY 11415 | 2015-09-29 |
| 1457737306 | Noelle Elizabeth Lenti-nightengale | Registered Nurse | 124-16 85 Avenue, Kew Gardens, NY 11415 | 2015-08-03 |
| 1871996983 | Zinovia Ioannou | Dental Hygienist | 121-56 Metropolitan Ave, Kew Gardens, NY 11415 | 2014-10-02 |
| Find all providers in zip 11415 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902106941 | Teuta Celaj | Counselor | 80 02 Kew Gardens, Kew Gardens, NY 11415 | 2010-10-25 |
| 1922236363 | Lyndee Lichfield | Counselor | 80 02 Kew Gardens Road, Kew Gardens, NY 11415 | 2009-06-24 |
| 1659537702 | Ellen Florence Powell | Counselor | 80-02 Kew Gardens Rd., Suite 704, Kew Gardens, NY 11415 | 2008-07-29 |
| 1457516239 | Ruth Sparks | Counselor | 80-02 Kew Gardens, Suite 704, Kew Gardens, NY 11415 | 2008-07-22 |
| 1720243504 | Myrna Goldstein-chiles | Counselor | 80-02 Kew Gardens Rd, Suite 704, Kew Gardens, NY 11415 | 2008-07-22 |
| 1821253642 | Lillian S Medina | Counselor | 80-20 Kew Gardens, Suite 704, Kew Gardens, NY 11415 | 2008-07-21 |
| 1124283940 | Monica Perry | Counselor | 80-02 Kew Gardens Road, Suite 704, Kew Gardens, NY 11415 | 2008-07-21 |
| 1720694557 | Milagros Gomez | Counselor | 8002 Kew Gardens Rd Ste 704, Kew Gardens, NY 11415-3607 | 2020-09-17 |
| 1861032864 | Keyonna Wallace | Counselor | 8002 Kew Gardens Rd Ste 704, Kew Gardens, NY 11415-3607 | 2020-01-08 |
| 1972153575 | Leah Josiah | Counselor | 8002 Kew Gardens Rd Ste 704, Kew Gardens, NY 11415-3607 | 2019-09-16 |
| Find all providers in KEW GARDENS | ||||
| City | KEW GARDENS |
| Zip Code | 11415 |
Please comment or provide details below to improve the information on ANDREW MOULDOVAN.
| 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.