LIBANESA SEPULVEDA


Address: 1515 Southern Blvd, Bronx, NY 10460-5980
Phone: 7185893400

LIBANESA SEPULVEDA (NPI# 1215280425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215280425
Entity Type Individual
Full Name LIBANESA SEPULVEDA
Practice Address 1515 Southern Blvd
Bronx
NY 10460-5980
Mailing Address 1775 Clay Ave Apt 6b
Bronx
NY 10457-7207
Practice Telephone 7185893400
Enumeration Date 2012-10-25
Last Update Date 2012-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 0246411 NY Dental Providers

Office Location

Street Address 1515 SOUTHERN BLVD
City BRONX
State NY
Zip Code 10460-5980

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790794709 Faith Janell Azul Physical Therapist 1515 Southern Blvd, Bronx, NY 10460-5980 2006-08-07
1427461417 Chad Lue Family Medicine 1515 Southern Blvd, Bronx, NY 10460-5980 2014-06-06
1013334820 Natalie Pleitez Respiratory Therapist, Registered 1515 Southern Blvd, Bronx, NY 10460-5980 2014-03-19
1952657975 Juan Carlos De Marchena Social Worker 1515 Southern Blvd, Bronx, NY 10460-5980 2012-07-27
1467724559 Michael Navas Social Worker 1515 Southern Blvd, Bronx, NY 10460-5980 2012-02-03
1346512431 Ashley Renee Groesbeck Social Worker 1515 Southern Blvd, Bronx, NY 10460-5980 2012-02-03
1700042298 Rachel L Samuels Pediatrics 1515 Southern Blvd, Bronx, NY 10460 2008-08-04
1326111980 Maura Suzanne Moloney Nurse Practitioner 1515 Southern Blvd, Bronx, NY 10460-5980 2006-11-15
1144309246 Robert Kaufman Pharmacist 1515 Southern Blvd, Bronx, NY 10460-5980 2006-11-02
1013096114 Andrew Paul Silverman Pharmacist 1515 Southern Blvd, Bronx, NY 10460-5980 2006-11-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306488044 Alyssa Lopez Occupational Therapy Assistant 1909 Longfellow Ave, Bronx, NY 10460 2019-10-15
1730743287 Kailey Brianne Sabel Occupational Therapist 1899 Longfellow Avenue, Bronx, NY 10460 2019-04-30
1386208585 Audrey Lachapelle Dentist 1400 Pelham Parkway South, Building 1, Room 3ne-1, Bronx Jacobi Medical Center, Department Of, New York City, NY 10460 2019-04-24
1174093041 Temika Codrington Registered Nurse 2103-5 Honeywell Ave., 3n, Bronx, NY 10460 2018-12-04
1306323084 Uhc Adult Day Program & Transport Services Inc Clinic/Center 1490 Crotona Parkway East, Bronx, NY 10460 2018-07-25
1316440969 Lcm Livery Pu Inc Taxi 1466 Beach Ave 12a, Bronx, NY 10460 2018-03-09
1104348051 Vivianet De La Cruz Specialist 1909 Longfellow Avenue, Bronx, NY 10460 2017-07-12
1932631801 Alquimedez Mental Health Counseling, Pllc Counselor 1154 East Tremont Ave., Alquimedez Mental Health Counseling, Pllc, Bronx, NY 10460 2017-03-30
1013463652 Angelica Beato Nurse Practitioner 1154 East Tremont Avenue, Bronx, NY 10460 2016-09-01
1114396827 Wendy I Valdez Social Worker 901 East 172nd St., 3rd Floor, Bronx, NY 10460 2015-09-23
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174067326 Ivonne C Rigaud Dental Hygienist 1550 Pelham Pkwy South, Bronx, NY 10461-1576 2016-12-07
1154715621 Loida Sotomayor Dental Hygienist 1014 Longfellow Ave Apt 3, Bronx, NY 10459-3880 2015-03-23
1871680140 Carlos Cedano Dental Hygienist 304 E 156th St Apt 8b, Bronx, NY 10451-4854 2006-10-06
1982719563 Marlene B Dominguez Dental Hygienist 163 City Island Ave, Bronx, NY 10464-1537 2006-08-21
1124506365 Larysa Kovalevych Dental Hygienist 234 E 149th St, Bronx, NY 10451-5504 2018-07-31
1033695317 Xiaofen Yang Dental Hygienist 234 E 149th St, Dental, Bronx, NY 10451-5589 2018-07-19
1689166282 Yunet Alcantara Dental Hygienist Lincoln Hospital, 234 E. 149 St., Bronx, NY 10451 2018-05-31
1669964136 Monica Nelson Dental Hygienist Lincoln Hospital, 234 E. 149 St., Bronx, NY 10451 2018-05-31
1972095578 Adwoa Okoampa-ahoofe Dental Hygienist Lincoln Hospital, 234 E. 149 St., Bronx, NY 10451 2018-05-31
1588166201 Yokasta Manana Dental Hygienist 1065 Southern Blvd, Bronx, NY 10459-2417 2018-03-08
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Competitor

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City BRONX
Zip Code 10460

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Dataset Information

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.

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