MRS. KSENIYA ALEKSEYEVNA LUECK (NPI# 1306313531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306313531 |
| Entity Type | Individual |
| Full Name | MRS. KSENIYA ALEKSEYEVNA LUECK |
| Other Name | KSENIYA ALEKSEYEVNA MYALIK |
| Practice Address |
890 State Fair Blvd Syracuse NY 13209 |
| Practice Telephone | 3157085830 |
| Mailing Telephone | 3157085830 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
890 STATE FAIR BLVD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669938676 | Tammy Theresa Lamanna | Licensed Practical Nurse | 313 Snowdale Drive, Syracuse, NY 13209 | 2019-02-14 |
| 1699051144 | Cheryl L. Birkmier | Speech-Language Pathologist | 600 Gertrude Ave., Solvay High School, Solvay, NY 13209 | 2011-10-28 |
| 1346564085 | Kathy Smith | Licensed Practical Nurse | 126 Hosmer Drive, Syracuse, NY 13209 | 2010-03-24 |
| 1417103771 | Susan Tina Waldt | Licensed Practical Nurse | 512 Rosewood Road, Syracuse, NY 13209 | 2008-08-18 |
| 1932288222 | West Side Physical Therapy, PC | Clinic/Center | 315 Bridge St, Solvay, NY 13209 | 2006-11-06 |
| 1912099821 | Suzanne M Skibinski | Physical Therapist | 315 Bridge St, Solvay, NY 13209 | 2006-09-28 |
| 1336231240 | Debra Ann Donohue | Physical Therapist | 315 Bridge St, Solvay, NY 13209 | 2006-09-28 |
| 1669564589 | Caryn Lindsay Baker | Physical Therapist | 315 Bridge St, Solvay, NY 13209 | 2006-09-28 |
| 1982872669 | Medisource Management, LLC | Durable Medical Equipment & Medical Supplies | 145 Dwight Park Cir, Syracuse, NY 13209-1005 | 2008-02-14 |
| 1356770556 | Lisa Schepper | Registered Nurse | 332 Long Branch Rd, Syracuse, NY 13209-1008 | 2013-11-07 |
| Find all providers in zip 13209 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475136 | Joan Sequeira | Student in an Organized Health Care Education/Training Program | 300 Audubon Pkwy Apt 95, Syracuse, NY 13224-1245 | 2020-10-26 |
| 1134728686 | Sarah Grube | Student in an Organized Health Care Education/Training Program | 5599 Thompson Rd Apt A8, Syracuse, NY 13214-1667 | 2020-10-25 |
| 1669070413 | Sarah Lynn Olszewski | Student in an Organized Health Care Education/Training Program | 451 Bryant Ave, Syracuse, NY 13204-2505 | 2020-10-14 |
| 1689281370 | Ashley Summerton | Student in an Organized Health Care Education/Training Program | 721 N Clinton St Apt 315, Syracuse, NY 13204-1255 | 2020-09-26 |
| 1811503055 | Matthew Vincent Morales I | Student in an Organized Health Care Education/Training Program | 904 Westcott St, Syracuse, NY 13210-2508 | 2020-09-22 |
| 1043826282 | Alex J Zwierzynski | Student in an Organized Health Care Education/Training Program | 172 Greenland Dr, Syracuse, NY 13208-3057 | 2020-09-22 |
| 1528674934 | Nicole Kaczor | Student in an Organized Health Care Education/Training Program | 200 Croyden Rd, Syracuse, NY 13224-1935 | 2020-09-21 |
| 1043826480 | Faustin M. Bahizi | Student in an Organized Health Care Education/Training Program | 926 Maryland Ave, Syracuse, NY 13210-2504 | 2020-09-21 |
| 1306452743 | Samantha Elizabeth Monaco | Student in an Organized Health Care Education/Training Program | 1420 Salt Springs Rd, Syracuse, NY 13214-1434 | 2020-09-21 |
| 1528686557 | Siofra Murphy | Student in an Organized Health Care Education/Training Program | 4900 Broad Rd Ste 3m, Syracuse, NY 13215-2265 | 2020-07-07 |
| Find all providers in SYRACUSE | ||||
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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.