NORTHEAST SERVICES 5 INC


Address: 13844c Queens Blvd Ste 213, Briarwood, NY 11435-2642
Phone: 4043886686

NORTHEAST SERVICES 5 INC (NPI# 1336644384) 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) 1336644384
Entity Type Organization
Organization Name NORTHEAST SERVICES 5 INC
Practice Address 13844c Queens Blvd Ste 213
Briarwood
NY 11435-2642
Mailing Address 127 Nw 13th St Ste C13
Boca Raton
FL 33432-1640
Practice Telephone 4043886686
Enumeration Date 2018-03-29
Last Update Date 2018-03-29
Authorized Official Name NATE HOLLANDER (PRESIDENT)
Authorized Official Telephone 4043886686
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations NORTHEAST SERVICES 5 INC. 138-44c Queens Blvd, Suite 213, Briarwood, Ny 11435

Office Location

Street Address 13844C QUEENS BLVD STE 213
City BRIARWOOD
State NY
Zip Code 11435-2642

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1831737311 Aminat Adams Registered Nurse 10753 Remitown Street, Jamaica, NY 11435 2019-12-16
1376180349 Isabella Herold Dietitian, Registered 97-04 Sutphin Boulevard, Jamaica, NY 11435 2019-12-09
1235774654 Angela Rose Torriero Occupational Therapist 90-36 150th Street, Jamaica, Queens, NY 11435 2019-11-08
1396386009 Alexandra Mikyung Kim Registered Nurse 90-27 Sutphin Boulevard, Jamaica, NY 11435 2019-10-03
1043782097 Louis E Krigger Counselor Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 2018-12-31
1407326093 Syretta Henry Social Worker 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 2018-11-27
1972083277 Debra Witherspoon-benders Licensed Vocational Nurse Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 2018-08-16
1982182895 Emmanuel Oszwa Odigie Respite Care 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 2018-08-02
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Taxonomy Information

Taxonomy Code 261QR0208X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile

Taxonomy Definition

Definition to come...

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1548817307 Sandy Dimanche Clinic/Center 11326 202nd St, Saint Albans, NY 11412-2531 2019-08-26
1386174779 Pamir Mobile Diagnostic Services Inc. Clinic/Center 14715 35th Ave Apt 2c, Flushing, NY 11354-3704 2017-06-18
1407383888 Icare Ultrasound Imaging, LLC Clinic/Center 7 Chamber Valley Ests, Spencerport, NY 14559-9301 2017-05-17
1851830269 Direct Cardiovascular Imaging Inc Clinic/Center 527 Bedford Ave, Staten Island, NY 10306-5429 2017-02-17
1679933998 Tarek R Khater Clinic/Center 2814 31st St, Suite 501, Astoria, NY 11102 2016-02-29
1376920496 Mc Imaging Inc Clinic/Center 216 Foster Pl Ste 2, Bronx, NY 10471-1805 2015-04-27
1851796585 National Diagnostic Solutions LLC Clinic/Center 505 W 37th Street, Ste 404, New York, NY 19102-9998 2014-10-23
1720402068 Sonic Technical Services Inc Clinic/Center 640 Belle Terre Rd Bldg F, Port Jefferson, NY 11777-1936 2014-02-06
1821411489 Mas Imaging Clinic/Center 11 Bayard St, Lake Grove, NY 11755-3147 2014-01-31
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Competitor

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City BRIARWOOD
Zip Code 11435

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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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