ANDRE WALLS SR. (NPI# 1396080636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396080636 |
| Entity Type | Individual |
| Full Name | ANDRE WALLS SR. |
| Credential | LMT |
| Practice Address |
974 47th St Apt D3 Brooklyn NY 11219-2808 |
| Practice Telephone | 3473987981 |
| Mailing Telephone | 3473987981 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 024063 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
974 47TH ST APT D3 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| 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 |
|---|---|---|---|---|
| 1710584354 | Deborah Angie Defreitas | Massage Therapist | 1405 Sutter Ave, Brooklyn, NY 11208-4003 | 2020-10-06 |
| 1679180210 | Kimberly P Eason | Massage Therapist | 1191 Broadway, Brooklyn, NY 11221-3024 | 2020-09-28 |
| 1154937894 | Wayne Archer | Massage Therapist | 2065 E 57th St, Brooklyn, NY 11234-4701 | 2020-09-18 |
| 1538775184 | Thomas Kirke Murray Iv | Massage Therapist | 250 9th St Apt 3, Brooklyn, NY 11215-8901 | 2020-09-18 |
| 1184239535 | Yuliya Makhotina | Massage Therapist | 227 Bay 11th St, Brooklyn, NY 11228-3814 | 2020-09-12 |
| 1386259729 | Colin Paul Brite | Massage Therapist | 70 S 1st St Apt 2, Brooklyn, NY 11249-4113 | 2020-09-12 |
| 1457966897 | Inna Razumovscaia | Massage Therapist | 176 Meserole Ave Apt 1f, Brooklyn, NY 11222-2457 | 2020-09-12 |
| 1639784275 | Elizabeth Gonzalez | Massage Therapist | 9951 Shore Road Apt 1b, Brooklyn, NY 11209-8215 | 2020-09-10 |
| 1154936078 | King Moy | Massage Therapist | 8840 24th Ave, Brooklyn, NY 11214-5310 | 2020-09-09 |
| 1932714854 | Christina Knorr | Massage Therapist | 1035 Halsey St Apt 3, Brooklyn, NY 11207-2070 | 2020-09-09 |
| Find all providers in BROOKLYN | ||||
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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.