YEKATERINA SHUBOVA PT


Address: 227 Mulberry St Bsmt, New York, NY 10012-4126
Phone: 9174357182

YEKATERINA SHUBOVA PT (NPI# 1346884913) 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) 1346884913
Entity Type Organization
Organization Name YEKATERINA SHUBOVA PT
Other Organization Name YEKATERINA SHUBOVA PT
Practice Address 227 Mulberry St Bsmt
New York
NY 10012-4126
Mailing Address 139 Hull Ave
Staten Island
NY 10306-3501
Practice Telephone 9174357182
Mailing Telephone 9174357182
Mailing Fax Number 8662821162
Enumeration Date 2019-11-06
Last Update Date 2019-11-06
Authorized Official Name MS. YEKATERINA SHUBOVA (OWNER)
Authorized Official Telephone 9174357182
Authorized Official Credential PT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY CIGNA 1568966570 01
CIGNA, AETNA, BCBS, UNITED HEALTH, OXFORD 1568966570 01
NY CIGNA, AETNA, BCBS, UNITED HEALTH, OXFORD 1184168544 01
CIGNA, AETNA, BCBS, OXFORD, UNITED HEALTH 1568836302 01

Other Provider/Organization Names

Other Name Type Code
yekaterina shubova PT Doing Business As Name - Organization

Office Location

Street Address 227 MULBERRY ST BSMT
City NEW YORK
State NY
Zip Code 10012-4126

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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1982229449 Steven Roman Clinic/Center 1420 Amsterdam Ave Apt 4b, New York, NY 10027-8011 2020-06-10
1720612989 Chloe Starr Physical Therapy & Fitness Pllc Clinic/Center 33 Carmine St # 2, New York, NY 10014-4428 2020-02-26
1295374965 Emerald City Medical PC Clinic/Center 130 E 40th St # 1002, New York, NY 10016-0941 2019-12-30
1134768112 Range of Motion LLC Clinic/Center 605 Madison Ave Fl 4, New York, NY 10022-1738 2019-12-23
1922643683 Megan Wise Pt Pllc Clinic/Center 554 5th Ave Fl 3, New York, NY 10036-5004 2019-11-16
1710521588 Shawn Monahan Physical Therapy, Pllc Clinic/Center 256 West St, New York, NY 10013-2014 2019-11-04
1447800289 Coast Rehab Nyc, LLC Clinic/Center 883 Avenue of The Americas Fl 3, New York, NY 10001-3501 2019-09-13
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Competitor

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City NEW YORK
Zip Code 10012

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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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