METHODIST OUTRACH LAB (NPI# 1205912813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205912813 |
Entity Type | Organization |
Organization Name | METHODIST OUTRACH LAB |
Practice Address |
506 6th St Brooklyn NY 11215-3609 |
Mailing Address |
1900 Hempstead Tpke Suite 500 East Meadow NY 11554-1724 |
Practice Telephone | 7187803016 |
Mailing Telephone | 5165421090 |
Mailing Fax Number | 5167948165 |
Enumeration Date | 2006-10-27 |
Last Update Date | 2020-08-22 |
Authorized Official Name | RABIA MIR (DIRECTOR) |
Authorized Official Telephone | 7187803016 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
Allopathic & Osteopathic Physicians |
Street Address |
506 6TH ST |
City | BROOKLYN |
State | NY |
Zip Code | 11215-3609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053310847 | Peilin Zhang | Pathology | 506 6th St, Brooklyn, NY 11215-3609 | 2005-07-14 |
1922607514 | Sandra Sewanu Ajimavo | Nurse Practitioner | 506 6th St, Brooklyn, NY 11215-3609 | 2020-10-23 |
1831797745 | Lindy Ganthier | Registered Nurse | 506 6th St, Brooklyn, NY 11215-3609 | 2020-10-13 |
1013521954 | Anna W Ku | Registered Nurse | 506 6th St, Brooklyn, NY 11215-3609 | 2020-09-08 |
1588289318 | Walid Khass | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2020-06-08 |
1093339996 | Beatrice Saintard | Registered Nurse | 506 6th St, Brooklyn, NY 11215-3609 | 2020-06-05 |
1295359958 | Naomi Acheampong | General Acute Care Hospital | 506 6th St, Brooklyn, NY 11215-3609 | 2020-05-28 |
1932721024 | John Kelly | Physical Therapist | 506 6th St, Brooklyn, NY 11215-3609 | 2020-05-11 |
1134749575 | Jennifer Ann Tokash | Occupational Therapist | 506 6th St, Brooklyn, NY 11215-3609 | 2020-04-24 |
1700406311 | Paul Myung Kim | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2020-04-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609493584 | Lakshmi Menon | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York-presbyterian Brooklyn Methodis, Brooklyn, NY 11215 | 2020-06-26 |
1083234785 | Yalda Hazrat | Student in an Organized Health Care Education/Training Program | 5066th Street, Brooklyn, NY 11215 | 2020-04-22 |
1548815384 | Brittany Dalbow | Counselor | 732 Carroll Street, Garden Apt, Brooklyn, NY 11215 | 2019-08-08 |
1669032504 | Bilal Ghassan Jaradat | Student in an Organized Health Care Education/Training Program | 506 6th St, Nyp Brooklyn Methodist Hospital, Brooklyn, NY 11215 | 2019-06-13 |
1598322547 | Abeer Ashfaq | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York Presbyterian Brooklyn Methodis, Room 3113, Brooklyn, NY 11215 | 2019-05-24 |
1508422809 | Racha Cassard | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-05-13 |
1972066884 | Nourhan Arafa Kika | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital 506 6th St, New York - Brooklyn, NY 11215 | 2019-04-08 |
1891258703 | Mountasir El-tohami | Student in an Organized Health Care Education/Training Program | New York-presbyterian Brooklyn Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215 | 2019-04-08 |
1386106938 | Anita Krish | Student in an Organized Health Care Education/Training Program | Newyork-presbyterian Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-04-03 |
1497237549 | Elizabeth Hopkins | Social Worker | 439 9th Street, Suite 1a, Brooklyn, NY 11215 | 2018-09-05 |
Find all providers in zip 11215 |
Taxonomy Code | 207NI0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Clinical & Laboratory Dermatological Immunology |
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093211351 | Ivelise A Peguero | Dermatology | 1901 1st Ave Rm 1208, New York, NY 10029-7491 | 2018-04-04 |
1093089856 | Alexandra R Brecher | Dermatology | 100 Carleon Ave, Larchmont, NY 10538-3200 | 2012-02-26 |
1962793828 | Frank C Taliercio Md | Dermatology | 811 N Broadway, Suite 206, White Plains, NY 10603-2400 | 2011-04-27 |
1467625160 | Cardiac Diagnostic Associates,llc | Dermatology | 115 Central Park West, Suite 1, New York, NY 10023-0000 | 2008-04-02 |
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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.