LIZA YEFIMOVA (NPI# 1063940385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063940385 |
| Entity Type | Individual |
| Full Name | LIZA YEFIMOVA |
| Practice Address |
578 Travis Ave Staten Island NY 10314-4802 |
| Practice Telephone | 6465780612 |
| Mailing Telephone | 6465780612 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 251300000X | 05 |
| Street Address |
578 TRAVIS AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666161 | Jenice Nicolette Gill-richardson | Local Education Agency (LEA) | 33 Elizabeth St, Staten Island, NY 10310-1933 | 2020-10-15 |
| 1922435635 | D&m Super Kids, LLC | Local Education Agency (LEA) | 21 Kayla Ct, Staten Island, NY 10306-1317 | 2013-09-27 |
| 1205188984 | Ruth Mayo | Local Education Agency (LEA) | 24 Boone Street, Staten Island, NY 10314 | 2012-10-05 |
| 1245517887 | Abigail Crapo-hoenig | Local Education Agency (LEA) | 372 Gansevoort Blvd, Staten Island, NY 10314-5117 | 2011-11-10 |
| 1275861304 | Children At Play Early Intervention Center | Local Education Agency (LEA) | 40 Merrill Ave, Staten Island, NY 10314-3312 | 2009-12-01 |
| 1427572924 | Richard Diomede | Local Education Agency (LEA) | 144 Keating Pl, Staten Island, NY 10314 | 2017-07-27 |
| 1154701340 | Ranin Awad | Local Education Agency (LEA) | 1781 Richmond Rd, Staten Island, NY 10306-2524 | 2015-06-03 |
| 1770915910 | Legendary Therapy | Local Education Agency (LEA) | 997 Stafford Ave, Staten Island, NY 10309-2109 | 2013-07-30 |
| 1083980924 | Department of Education | Local Education Agency (LEA) | 155 Tompkins Ave, Staten Island, NY 10304-2601 | 2012-03-26 |
| 1669770608 | Tanglewood Montessori Corporation | Local Education Agency (LEA) | 15 Tanglewood Dr, Staten Island, NY 10308-1853 | 2011-02-28 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on LIZA YEFIMOVA.
| 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.