ELLIOT LUTZ (NPI# 1376942292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376942292 |
| Entity Type | Individual |
| Full Name | ELLIOT LUTZ |
| Practice Address |
15910 71st Ave Apt 3h Fresh Meadows NY 11365-3024 |
| Practice Telephone | 3472442914 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
057524 | NY | Dental Providers |
| Street Address |
15910 71ST AVE APT 3H |
| City | FRESH MEADOWS |
| State | NY |
| Zip Code | 11365-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660653 | Melanie Batista | Massage Therapist | 71-55 Parsons Blvd, Fresh Meadows, NY 11365 | 2020-08-19 |
| 1497396378 | Celestina Andino | Registered Nurse | 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 | 2019-10-02 |
| 1659939304 | Bracha Kosoff | Occupational Therapist | 71-64 168th St., Flushing, NY 11365 | 2019-05-29 |
| 1295290419 | Kate Okeke | Licensed Practical Nurse | 188 04 64th Avenue, Fresh Meadow, NY 11365 | 2019-02-01 |
| 1669951497 | Jihee Woo | Registered Nurse | 189-04 6f Fresh Meadows, Queeens, NY 11365 | 2018-08-13 |
| 1710465125 | In Hye Choi | Acupuncturist | 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 | 2018-07-30 |
| 1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
| 1598280489 | Gabriella Pamela Koyenova | Physician Assistant | 69-24 181st Street, Fresh Meadows, NY 11365 | 2017-08-11 |
| 1750802781 | Nicola Coley | Behavioral Analyst | 6747 161st Street, 1k, Flushing, NY 11365 | 2017-06-29 |
| 1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
| Find all providers in zip 11365 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972989952 | Tasadaq Khan Khakwani | Dentist | 4980 175th Pl, Fresh Meadows, NY 11365-1624 | 2015-07-31 |
| 1841674157 | Robin Hur | Dentist | 188-01 Union Tpke, Fresh Meadows, NY 11366 | 2015-07-16 |
| 1750624458 | Gordon Wang | Dentist | 7516 169th St, Fresh Meadows, NY 11366-1338 | 2013-04-01 |
| 1154610160 | Unlimited Holdings Group LLC | Dentist | 6107 Utopia Pkwy, 2fl, Fresh Meadows, NY 11365-2155 | 2011-03-30 |
| 1568611937 | Bright White Dental, Pllc | Dentist | 18706 Union Tpke, Fresh Meadows, NY 11366-1705 | 2008-09-10 |
| 1427213925 | Ariel Tamma | Dentist | 7840 164th St Apt 3d, Fresh Meadows, NY 11366-1209 | 2008-07-23 |
| 1508050535 | Cesar A Linares | Dentist | 16618 73rd Ave, Fresh Meadows, NY 11366-1244 | 2007-09-03 |
| 1679696801 | John Joseph Duffy | Dentist | 17411 Horace Harding Expy, Fresh Meadows, NY 11365-1527 | 2007-04-10 |
| 1659414480 | Dental Excellence of Ny | Dentist | 18801 Union Tpke, Fresh Meadows, NY 11366-1736 | 2007-02-14 |
| 1598837981 | Eric S Weiner | Dentist | 7576 198th St, Fresh Meadows, NY 11366-1821 | 2006-11-14 |
| Find all providers in FRESH MEADOWS | ||||
| City | FRESH MEADOWS |
| Zip Code | 11365 |
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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.