JACQUELINE SO (NPI# 1184284895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184284895 |
| Entity Type | Individual |
| Full Name | JACQUELINE SO |
| Credential | DMD |
| Practice Address |
760 Broadway, Room 2c319 Brooklyn NY 11206 |
| Practice Telephone | 7189638310 |
| Practice Fax Number | 7186303244 |
| Mailing Telephone | 7189638310 |
| Mailing Fax Number | 7186303244 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
760 BROADWAY, ROOM 2C319 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020614 | Aleksandra Dragojevic | Student in an Organized Health Care Education/Training Program | 760 Broadway, Room 2c319, Department of Dentistry/ Attention M. Rodriguez, Brooklyn, NY 11206 | 2019-12-11 |
| 1164068029 | Mackenzie Gayle Schleicher | Student in an Organized Health Care Education/Training Program | 760 Broadway, Room 2c319, Department of Dentistry/attention M. Rodriguez, Brooklyn, NY 11206 | 2019-11-25 |
| 1548806995 | Myroslava Vasylivna Kavaka | Student in an Organized Health Care Education/Training Program | 760 Broadway, Room 2c319, Department of Dentistry/attention M.rodriguez, Brooklyn, NY 11206 | 2019-11-20 |
| 1548806227 | Daniel Avezoff | Student in an Organized Health Care Education/Training Program | 760 Broadway, Room 2c319, Department of Dentistry / Attention M.rodriguez, Brooklyn, NY 11206 | 2019-11-18 |
| 1386289072 | Marie Kwok | Student in an Organized Health Care Education/Training Program | 760 Broadway, Room 2c319, Department of Dentistry/attention M. Rodriguez, Brooklyn, NY 11206 | 2019-11-17 |
| 1144882697 | Thanh-tam Nguyen Tran | Student in an Organized Health Care Education/Training Program | 760 Broadway, Room 2c319, Brooklyn, NY 11206 | 2019-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957684 | Armyda Montoya Novoa | Student in an Organized Health Care Education/Training Program | Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206 | 2020-06-22 |
| 1528684107 | Elizabeth Nana Ama Sarporma Osei-kuffuor | Student in an Organized Health Care Education/Training Program | 760 Broadway Woodhull Hospital, Pediatrics Administration 6b23, Brooklyn, NY 11206 | 2020-06-19 |
| 1356965057 | Ishan Poudel | Student in an Organized Health Care Education/Training Program | 760 Broadway, Woodhull Medical and Mental Health Center, Gme - Room 10a216, Brooklyn, NY 11206 | 2020-05-29 |
| 1538721303 | Osarodion Osa Igbinomwanhia | Student in an Organized Health Care Education/Training Program | Woodhull Address 760 Broadway, Department of Pediatrics Room 6b23, New York, NY 11206 | 2019-07-02 |
| 1043872955 | Olajide A Sowemimo | Student in an Organized Health Care Education/Training Program | Dept of Pediatrics, Woodhull Hospital, Room 6b23, 760 Broadway, New York, NY 11206 | 2019-07-01 |
| 1326607722 | Nicole Chamak | Speech-Language Pathologist | Ps 141k@380, 370 Marcy Ave - Speech Dept, Brooklyn, NY 11206 | 2019-06-10 |
| 1831660356 | Sheena Erica Purcell | Registered Nurse | White Glove Community Care, Inc., 89 Barlett St, 2nd Floor, Brooklyn, NY 11206 | 2018-12-10 |
| 1922578145 | Robert A Rodriguez | Social Worker | 630 Fushing Ave, Brooklyn, NY 11206 | 2018-11-30 |
| 1346724085 | Evelyn Wreh Larbie | Licensed Practical Nurse | White Glove Community Care, 89 Bartlett Street, Brooklyn, NY 11206 | 2018-09-19 |
| 1497236970 | Cabs Cdpap Corp | Home Health | 44 Varet Street, Brooklyn, NY 11206 | 2018-08-23 |
| Find all providers in zip 11206 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
| 1093313355 | Nanyamkah Jacquella Washington | Student in an Organized Health Care Education/Training Program | 280 Sterling St, Brooklyn, NY 11225-4113 | 2020-10-09 |
| 1750996476 | Charlotte Berthe Scott | Student in an Organized Health Care Education/Training Program | 543 Quincy St Apt 1, Brooklyn, NY 11221-6981 | 2020-09-10 |
| 1336751429 | Chhabilal Bastola | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # Im, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1710599840 | Saujan Devkota | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave Apt 1b, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1831709260 | Taimy Falcon-rodriguez | Student in an Organized Health Care Education/Training Program | 142 Jefferson Ave Apt 1, Brooklyn, NY 11216-5909 | 2020-07-31 |
| 1720697048 | Elli Jacob Matatov | Student in an Organized Health Care Education/Training Program | 714 E 9th St, Brooklyn, NY 11230-2202 | 2020-07-23 |
| 1639797178 | Alessia Field | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave Suny Downstate, Department of Obstetrics and Gynecology-msc24, Brooklyn, NY 11203-2012 | 2020-07-10 |
| 1124645361 | Danielle Bensimhon Greco | Student in an Organized Health Care Education/Training Program | 132 Remsen St, Brooklyn, NY 11201-4275 | 2020-07-04 |
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| Find all providers in BROOKLYN | ||||
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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.