CRYSTAL EDGEWORTH (NPI# 1477150779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477150779 |
| Entity Type | Individual |
| Full Name | CRYSTAL EDGEWORTH |
| Practice Address |
2322 Adam Clayton Powell Jr Blvd Apt 1b New York NY 10030-2555 |
| Practice Telephone | 9178487514 |
| Mailing Telephone | 9178487514 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 030129-01 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2322 ADAM CLAYTON POWELL JR BLVD APT 1B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10030-2555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952869695 | Careaide Direct, LLC | Technician | 2368 Adam Clayton Powell Blvd Suite 1f, New York, NY 10030 | 2019-03-12 |
| 1619434073 | Eric E Arnold Mental Health Counseling Private Practice | Counselor | 273 West 138th Street, Unit #2a, New York, NY 10030 | 2019-02-21 |
| 1255794384 | Chavel Pamela Guzman | Counselor | 200 W 143rd St, 17d, New York, NY 10030 | 2016-04-05 |
| 1679973028 | Rachel Mager | Speech-Language Pathologist | 301 W 140th St, New York, NY 10030 | 2014-09-03 |
| 1215353164 | Riley Aponte | Counselor | 318 W 138 #4f, Ny, NY 10030 | 2014-03-14 |
| 1477805141 | Robin Goodwin | Licensed Practical Nurse | 229 West 144th St., 54, Newyork, NY 10030 | 2012-10-05 |
| 1407120892 | Latasha O'bryant | Occupational Therapist | 2574d 8th Avenue, New York, NY 10030 | 2012-03-02 |
| 1205106010 | Dhruv A Shah | Physical Therapist | 131 West 135th St, Lenox Rehab, New York, NY 10030 | 2012-01-10 |
| 1093024283 | Kristin Joy Carothers | Psychologist | 308 West 140th Street, #4, New York, NY 10030 | 2010-10-05 |
| 1134431190 | Melanie Rose Cabatingan | Occupational Therapist | 131 W 135th Street, Lenox Rehabilitation, New York, NY 10030 | 2010-07-07 |
| Find all providers in zip 10030 | ||||
| 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 |
|---|---|---|---|---|
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1477152528 | Yahaira Maria Paulino | Massage Therapist | 617 W 141st St Apt 56, New York, NY 10031-6957 | 2020-10-20 |
| 1558978833 | Rebecca Clark | Massage Therapist | 244 Madison Ave # 391, New York, NY 10016-2817 | 2020-09-30 |
| 1033726062 | Olga Tabibov | Massage Therapist | 207 E 27th St Apt Phg, New York, NY 10016-9114 | 2020-09-24 |
| 1619583911 | Margaret Lyszkiewicz | Massage Therapist | Zeel Networks, Inc, 45n Moore, New York, NY 10185-5191 | 2020-09-22 |
| 1518573328 | Annette Marshall | Massage Therapist | 103 W 78th St Apt 1, New York, NY 10024-6769 | 2020-09-17 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1043825508 | Ross Howard | Massage Therapist | 255 W 43rd St Apt 102, New York, NY 10036-3930 | 2020-09-11 |
| 1053926436 | Daniel Reinisch | Massage Therapist | 365 W 25th St Apt 21c, New York, NY 10001-5825 | 2020-09-11 |
| 1609481340 | John Joseph Montalto | Massage Therapist | 720 W 173rd St, New York, NY 10032-1107 | 2020-09-10 |
| Find all providers in NEW YORK | ||||
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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.