ILSE LORRAINE PENALOZA (NPI# 1306457627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306457627 |
| Entity Type | Individual |
| Full Name | ILSE LORRAINE PENALOZA |
| Practice Address |
2230 42nd St Apt 3f Astoria NY 11105-1423 |
| Practice Telephone | 3477315683 |
| Mailing Telephone | 3477315683 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 025199 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2230 42ND ST APT 3F |
| City | ASTORIA |
| State | NY |
| Zip Code | 11105-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639640345 | Bridget Mackin | Counselor | 2263 41st Street, Apt 1f, Astoria, NY 11105 | 2018-12-07 |
| 1487154597 | Five Star Assessment Corp | Specialist/Technologist | 2135 47 Street, Suite 2, Astoria, NY 11105 | 2018-02-15 |
| 1154843076 | Stefania Anne Vendome | Physician Assistant | 23-38 28th Street, Astoria, NY 11105 | 2017-07-12 |
| 1164942330 | Kara Lorraine Gerbino | Registered Nurse | 2325 31st St Ste 301, Astoria, NY 11105 | 2017-06-20 |
| 1669908828 | Gerlie H Estores | Licensed Practical Nurse | 2257 23rd Street, 2nd Floor, Astoria, NY 11105 | 2017-05-10 |
| 1558809665 | Tasrina Khan | Behavioral Analyst | 24-13 23rd Ave, Astoria, NY 11105 | 2017-02-09 |
| 1356892988 | Maria Tsoukias | Behavioral Analyst | 21-21 24th Street, Astoria, NY 11105 | 2016-10-19 |
| 1356705602 | Ahmed Y Nasser | Pharmacist | 21 09 A 31st Street, Pharmacare Plus Pharmacy, Astoria, NY 11105 | 2016-04-12 |
| 1194185363 | Sisters of The Good Shepherd | Social Worker | 25-30 21 Avenue, Astoria, NY 11105 | 2016-03-02 |
| 1154741551 | Latifat Okeke | Nurse Practitioner | 49-04 19th Ave, Rikers Island Correctional Facility, Astoria, NY 11105 | 2014-04-24 |
| Find all providers in zip 11105 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925958 | Maria Kitsios | Massage Therapist | 3076 35th St Apt 1d, Astoria, NY 11103-4713 | 2020-09-08 |
| 1073092748 | Anna Danielle Smith | Massage Therapist | 1 12th St Ste 10, Astoria, OR 97103-4146 | 2018-08-13 |
| 1023518115 | Jackie Ankerson | Massage Therapist | 1490 Commercial St Ste 202, Astoria, OR 97103-3800 | 2018-02-15 |
| 1538689302 | Dara Michelle Lazar | Massage Therapist | 14-17 31st Avenue, Apt 2b, Astoria, NY 11106 | 2017-06-22 |
| 1164887386 | Eleni Anagnostakos | Massage Therapist | 2268 46th St, Astoria, NY 11105-1306 | 2015-12-15 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1003154840 | Jasmine R Craven | Massage Therapist | 1230 Marine Dr Ste 305, Astoria, OR 97103-4061 | 2013-01-29 |
| 1568718484 | Leigh Oviatt | Massage Therapist | 370 Alameda Ave, Apartment 1, Astoria, OR 97103-6217 | 2012-07-29 |
| 1700118585 | Rebecca Ann Hart | Massage Therapist | 2935 Marine Dr Ste. B, Astoria, OR 97103 | 2010-02-04 |
| 1053646307 | Carol R Mathre | Massage Therapist | 1154 Commercial St, Astoria, OR 97103-4126 | 2009-10-05 |
| Find all providers in ASTORIA | ||||
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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.