LILY BOUTEHSAZ (NPI# 1225433923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225433923 |
Entity Type | Individual |
Full Name | LILY BOUTEHSAZ |
Credential | MSED |
Practice Address |
4277 65th Pl Woodside NY 11377 |
Practice Telephone | 7184292000 |
Mailing Telephone | 7184292000 |
Enumeration Date | 2014-10-24 |
Last Update Date | 2014-10-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 1293643 | NY | Other Service Providers |
Street Address |
4277 65TH PL |
City | WOODSIDE |
State | NY |
Zip Code | 11377 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487847364 | Anatoly Spektor | Occupational Therapist | 4277 65th Pl, Woodside, NY 11377-5054 | 2007-08-23 |
1497352330 | Derya Nur Sari | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-10-05 |
1003421918 | Happy Kids Aba LLC | Community/Behavioral Health | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-09-09 |
1083224935 | Christine Pomposo | Physical Therapist | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-08-05 |
1629692918 | Emily R Maina | Speech-Language Pathologist | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-06-02 |
1003439753 | Nicole Levine | Social Worker | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-05-28 |
1093337644 | Ivon Schreiber | Occupational Therapy Assistant | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-05-16 |
1821610007 | Varsha Saroj | Physical Therapist | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-05-11 |
1962024471 | Iyanla Fredericksen Rasberry | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-05-07 |
1376164871 | Kaela Stephen | Behavior Technician | 4277 65th Pl, Woodside, NY 11377-5054 | 2020-05-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
Find all providers in zip 11377 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881243160 | Ryan Christine Mcgovern | Specialist | 5130 65th St, Woodside, NY 11377-5813 | 2019-09-09 |
1912473760 | Kumari Hope Peiris | Specialist | 3932 54th St, Woodside, NY 11377-3342 | 2018-10-19 |
1134610637 | Kristi Anne Pagdanganan | Specialist | 4025 72nd St Apt 3b, Woodside, NY 11377-3087 | 2018-05-21 |
1063901601 | Wilhelmina Figuerrez Limbag | Specialist | 3775 63rd St Apt A51, Woodside, NY 11377-2653 | 2018-05-09 |
1376064865 | Jessica Martinez | Specialist | 3138 60th St, Woodside, NY 11377-1221 | 2017-07-05 |
1619425543 | Milady Valerio | Specialist | 6920 32nd Ave, Woodside, NY 11377-2033 | 2016-09-20 |
1548713738 | Adelida Renteria | Specialist | 4836 47th St Apt 5e, Woodside, NY 11377-7232 | 2016-07-25 |
1235591496 | Northern California Surgical Endoscopy, Inc. | Specialist | 240 Mountain Wood Ln, Woodside, CA 94062-2523 | 2016-03-25 |
1811388309 | Mary Joan Sonsona | Specialist | 5019 67th St, Floor # 3, Woodside, NY 11377-7508 | 2015-02-05 |
1023427580 | Syeda A Abbas | Specialist | 3335 58th St, Woodside, NY 11377-2216 | 2014-08-10 |
Find all providers in WOODSIDE |
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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.