ST ALBANS MEDICAL PC (NPI# 1043595507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043595507 |
| Entity Type | Organization |
| Organization Name | ST ALBANS MEDICAL PC |
| Other Organization Name | ST ALBANS MEDICAL PC |
| Practice Address |
199-12 Hollis Avenue 1st Fl Jamaica NY 11412-1232 |
| Mailing Address |
19912 Hollis Ave 1st Fl Jamaica NY 11412-1232 |
| Practice Telephone | 7184135665 |
| Practice Fax Number | 7184135650 |
| Mailing Telephone | 7184135665 |
| Mailing Fax Number | 7184135650 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |
| Authorized Official Name | DR. DUFRENY ALPHONSE GILOUX (OWNER) |
| Authorized Official Telephone | 7184135665 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1854231 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St Albans Medical PC | Former Legal Business Name - Organization |
| Street Address |
199-12 HOLLIS AVENUE 1ST FL |
| City | JAMAICA |
| State | NY |
| Zip Code | 11412-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043780901 | Emilsie Guerlaine Leconte | Licensed Practical Nurse | 19216 119th Ave, Saint Albans, NY 11412 | 2018-12-04 |
| 1124535554 | Pamela Ceclia Worrell-springer | Registered Nurse | 188-19 104th Ave, St. Albans, NY 11412 | 2018-01-08 |
| 1639681786 | Dr Bryant Medical Practice PC | Internal Medicine | 20515 Hollis Ave, Saint Albans, NY 11412 | 2017-10-30 |
| 1760907547 | Chudney Desarme | Licensed Practical Nurse | 190-24 111th Ave, Saint Albans, NY 11412 | 2017-08-14 |
| 1194266973 | Samantha Amanda Bailey | Licensed Practical Nurse | 117-35 195th Street, St Albans, NY 11412 | 2017-03-14 |
| 1659826543 | Rachel Colin | Nurse Practitioner | 109-02 201 Street, Jamaica, NY 11412 | 2016-08-20 |
| 1093173387 | Sharon Magwood | Specialist | 189-11 116th. Rd., 2nd. Fl, St.albans, NY 11412 | 2016-02-02 |
| 1790164374 | Wise Pharmacy LLC | Health Maintenance Organization | 189-01 Linden Blvd, Saint Albans, NY 11412 | 2015-05-28 |
| 1366833683 | Gordon's Cognitive Balance Center Inc | Community Health Worker | 113-41 Farmers Blvd, St. Albans, NY 11412 | 2015-02-09 |
| 1225458003 | Natasha Mcmillan | Student in an Organized Health Care Education/Training Program | 187-27 Dunkirk Dr, St. Albans, NY 11412 | 2014-04-21 |
| Find all providers in zip 11412 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796713 | Quality Movement Restoration, LLC | Clinic/Center | 12027 165th St, Jamaica, NY 11434-2526 | 2020-10-05 |
| 1053932582 | Trinity Health Chiropractic PC | Clinic/Center | 16519 Hillside Ave, Jamaica, NY 11432-4134 | 2020-05-06 |
| 1265902464 | Daniel Mercado Pt PC | Clinic/Center | 17561 Hillside Ave Ste 400, Jamaica, NY 11432-5769 | 2018-11-29 |
| 1710381017 | Marlene Bradnock | Clinic/Center | 178-18 120 Ave, Jamaica, NY 11434 | 2014-10-15 |
| 1215278395 | Concierge Chiropractic Healthcare | Clinic/Center | 14843 Hillside Ave, Jamaica, NY 11435-3330 | 2013-03-14 |
| 1003192121 | Active Healing Physical Therapy, Pllc | Clinic/Center | 16902 Highland Ave Bsmt, Jamaica, NY 11432-2632 | 2011-11-02 |
| 1194969931 | Best Hands-on Physical Therapy PC | Clinic/Center | 8944 162nd St, Ground Floor, Jamaica, NY 11432-5045 | 2009-04-23 |
| 1992850895 | Kmrc, LLC | Clinic/Center | 175-61 Hillside Avenue 4th Floor, Suite 400, Jamaica, NY 11432 | 2007-01-24 |
| 1902314099 | Physio-alternative Physical Therapy PC | Clinic/Center | 14431 Jamaica Ave, Jamaica, NY 11435-3623 | 2018-01-11 |
| 1548629736 | Physiodynamics LLC | Clinic/Center | 14431 Jamaica Ave, Jamaica, NY 11435-3623 | 2016-02-16 |
| Find all providers in JAMAICA | ||||
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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.