MEDICAL PRACTICE NY PC (NPI# 1437494648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437494648 |
| Entity Type | Organization |
| Organization Name | MEDICAL PRACTICE NY PC |
| Practice Address |
6923 168th St Fresh Meadows NY 11365-3213 |
| Mailing Address |
95-20 63 Rd Road Suite H Rego Park NY 11374 |
| Practice Telephone | 7187550656 |
| Mailing Telephone | 3478134143 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |
| Authorized Official Name | DR. YELENA MAMEDOVA BRAZ (MD) |
| Authorized Official Telephone | 7187550656 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
185185 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01274024 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023251261 | Medical Practice Ny PC | Clinic/Center | 5 W 86th St Apt 1c, New York, NY 10024-3663 | 2009-04-17 |
| Street Address |
6923 168TH ST |
| City | FRESH MEADOWS |
| State | NY |
| Zip Code | 11365-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942672225 | Claudia Iordache Md Psychiatry PC | Psychologist | 6923 168th St, Fresh Meadows, NY 11365-3213 | 2015-10-26 |
| 1669712899 | Svetlana Pinkhasova | Speech-Language Pathologist | 6923 168th St, Fresh Meadows, NY 11365-3213 | 2013-02-25 |
| 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 | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942672225 | Claudia Iordache Md Psychiatry PC | Psychologist | 6923 168th St, Fresh Meadows, NY 11365-3213 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679190144 | C.a.r.e. Nutrition Consultants, LLC | Psychologist | 120 Breckenridge Rd, Mahopac, NY 10541-1200 | 2020-07-01 |
| 1437663192 | Michelle Patricia Flores | Psychologist | 9000 Old River Rd Bldg 26, Marcy, NY 13403-3043 | 2017-11-16 |
| 1134648876 | Tyler Mendoza | Psychologist | 347 5th Ave Rm 703a, New York, NY 10016-5036 | 2017-09-13 |
| 1013430560 | Sabrina M Jhanwar | Psychologist | 333 E 43rd St Ofc 1, New York, NY 10017-4831 | 2017-07-17 |
| 1386004273 | Lauren Saltus | Psychologist | 1115 Merillon St, Uniondale, NY 11553-1221 | 2016-03-04 |
| 1215115431 | Eric Niles Weissman | Psychologist | 18 Scotchtown Ave, Goshen, NY 10924 | 2008-02-11 |
| 1891981403 | Dorian Edward Poole | Psychologist | 8149 242 St, Queens, NY 11426 | 2007-09-18 |
| 1073734349 | Pearl A Weinstein | Psychologist | 35 Hillside Road, Farmingdale, NY 11735-1917 | 2007-05-02 |
| 1083835953 | Associates In Psychotherapy | Psychologist | 135 E 50 St, Suite 106, Nyc, NY 10022 | 2007-05-01 |
| 1215053038 | Judith F Gruber | Psychologist | 141 Joralemon St Apt 2b, Brooklyn, NY 11201-4010 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
| City | FRESH MEADOWS |
| Zip Code | 11365 |
Please comment or provide details below to improve the information on MEDICAL PRACTICE NY PC.
| 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.