PROFILES BY KRISTIN LTD (NPI# 1194246165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194246165 |
| Entity Type | Organization |
| Organization Name | PROFILES BY KRISTIN LTD |
| Practice Address |
2113 Brewerton Rd Syracuse NY 13211-1759 |
| Practice Telephone | (315) 454-3132 |
| Practice Fax Number | 3154549045 |
| Mailing Telephone | 3154543132 |
| Mailing Fax Number | 3154549045 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Authorized Official Name | MRS. KRISTIN MICHELLE WEBB (OWNER) |
| Authorized Official Telephone | 3154543132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
2113 BREWERTON RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13211-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154692259 | Elizabeth Mitchell | Massage Therapist | 2605 Brewerton Roadd Lin, A Touch Above, Mattydale, NY 13211 | 2012-01-20 |
| 1265616189 | James Laurence Devine | Pharmacist | 2616 Brewerton Rd, Mattydale, NY 13211 | 2007-12-27 |
| 1578053468 | Kalie Jolyn Moore | Massage Therapist | 2605 Brewerton Rd, Syracuse, NY 13211 | 2018-05-16 |
| 1487997276 | Melissa S Mcgloun | Massage Therapist | 2605 Brewerton Rd, A Touch Above, Mattydale, NY 13211 | 2013-04-01 |
| 1770605784 | John Palazzoli | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2007-04-03 |
| 1407283161 | Andrea Marie Rubin | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2013-09-26 |
| 1689007585 | Justin Christopher Acker | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2013-08-14 |
| 1538190681 | K Mart Corp | Pharmacy | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2006-07-06 |
| 1215044201 | Clinton Charles Conger | Chiropractor | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2006-08-24 |
| 1962055954 | Corey Smith | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2019-07-19 |
| Find all providers in zip 13211 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600581 | Central New York Medical Products, Inc. | Durable Medical Equipment & Medical Supplies | 749 W Genesee St, Syracuse, NY 13204-2305 | 2005-06-28 |
| 1811521297 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 6724 Thompson Rd, Syracuse, NY 13211-2183 | 2020-02-25 |
| 1215346275 | Govsphere, Inc. | Durable Medical Equipment & Medical Supplies | 499 S Warren St, Suite 3500, Syracuse, NY 13202-2609 | 2014-08-04 |
| 1972869683 | Gary S Greenberg Dmd | Durable Medical Equipment & Medical Supplies | 109 S Warren St, Suite 1700, Syracuse, NY 13202-1798 | 2012-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909988 | Hair By Lady Sha LLC | Durable Medical Equipment & Medical Supplies | 395 E 3rd St, Mount Vernon, NY 10553-5124 | 2020-10-12 |
| 1104423714 | Hair By Shay Bonnie | Durable Medical Equipment & Medical Supplies | 15 William St # C, Central Islip, NY 11722-2404 | 2020-10-06 |
| 1043817976 | Complete Ortho Supply Inc. | Durable Medical Equipment & Medical Supplies | 1701 Avenue P Ste M, Brooklyn, NY 11229-1205 | 2020-10-04 |
| 1891301412 | Nf Med Supplies Corp | Durable Medical Equipment & Medical Supplies | 29 Montrose Ave Apt 2b, Brooklyn, NY 11206-2499 | 2020-09-18 |
| 1396350195 | Northeast Orthopedic Network | Durable Medical Equipment & Medical Supplies | 41 Flatbrush Ave, Floors 1 & 2, Brooklyn, NY 11217 | 2020-09-09 |
| 1851904718 | Caremax Dme, Inc. | Durable Medical Equipment & Medical Supplies | 22003 Jamaica Ave Lowr Level, Jamaica, NY 11428-2140 | 2020-08-28 |
| 1821601782 | Healthdepot Dme, Inc. | Durable Medical Equipment & Medical Supplies | 7001 Metropolitan Ave Lowr Level, Middle Village, NY 11379-2191 | 2020-08-28 |
| 1649882895 | Daniel Akilov | Durable Medical Equipment & Medical Supplies | 8022 210th St, Queens Village, NY 11427-1011 | 2020-08-19 |
| 1487271722 | Larry Kleinstein | Durable Medical Equipment & Medical Supplies | 437 W 44th St Apt 2re, New York, NY 10036-4443 | 2020-07-02 |
| 1023630126 | Ocean Wave Sleep and Snore Solutions LLC | Durable Medical Equipment & Medical Supplies | 3377 Long Beach Rd Ste C, Oceanside, NY 11572-5063 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
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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.