LILY BOUTEHSAZ


Address: 4277 65th Pl, Woodside, NY 11377
Phone: 7184292000

LILY BOUTEHSAZ (NPI# 1225433923) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 1293643 NY Other Service Providers

Office Location

Street Address 4277 65TH PL
City WOODSIDE
State NY
Zip Code 11377

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City WOODSIDE
Zip Code 11377

Improve Information

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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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