MR. BORIS MULOKANDOV (NPI# 1487989406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487989406 |
| Entity Type | Individual |
| Full Name | MR. BORIS MULOKANDOV |
| Practice Address |
16524 Baisley Blvd Store #14 Mall #1 Jamaica NY 11434-2517 |
| Practice Telephone | 7182760055 |
| Practice Fax Number | 7182765059 |
| Mailing Telephone | 7182760055 |
| Mailing Fax Number | 7182765059 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2014-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
008669-1 | NY | Eye and Vision Services Providers |
| Street Address |
16524 BAISLEY BLVD STORE #14 MALL #1 |
| City | JAMAICA |
| State | NY |
| Zip Code | 11434-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972997617 | Bbo Holdings, Inc | Optometrist | 16524 Baisley Blvd, Jamaica, NY 11434-2517 | 2015-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726583 | Quwanna M Seymour | Licensed Practical Nurse | Sweet P Home Care Inc 169-37 144th Rd, Jamaica, NY 11434 | 2020-09-29 |
| 1609482645 | Joanquina Beaublanc | Registered Nurse | 170300 130th Ave, Queens, NY 11434 | 2020-09-16 |
| 1386252799 | Maria Akeloko | Behavioral Analyst | 16630 137th Ave, Jamaica, NY 11434 | 2020-07-22 |
| 1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
| 1548885528 | Dominique Alicia Preville | Registered Nurse | 127-14 122nd Street, Apt 2, Queens, NY 11434 | 2020-06-15 |
| 1235754748 | Jameela Scotland | Licensed Practical Nurse | 172 128 Ave, Jamaica, NY 11434 | 2020-06-10 |
| 1447892815 | Accord Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 115-17 Merrick Blvd., Jamaica, NY 11434 | 2019-10-17 |
| 1578122032 | Denise Marie Cahill | Counselor | 175-15 Rockaway Blvd., Janaica, NY 11434 | 2019-06-10 |
| 1235794363 | Whitney Sewell | Social Worker | 115-15 Sutphin Blvd., Jamaica, NY 11434 | 2019-05-03 |
| 1770055832 | Kassandra Maria Campbell | Registered Nurse | 114-76 177th Street, Jamaica, NY 11434 | 2018-12-29 |
| Find all providers in zip 11434 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1932615911 | David Nazginov | Technician/Technologist | 18136 Tudor Rd, Jamaica, NY 11432-1447 | 2017-12-28 |
| 1336577493 | Suresh Sanpaul | Technician/Technologist | 9065 180th St, Jamaica, NY 11432-5612 | 2013-10-28 |
| 1487958831 | Optical 161 Corp | Technician/Technologist | 16111 Jamaica Ave, Jamaica, NY 11432-6113 | 2010-12-28 |
| 1316260888 | Rek Queens Optical Center Inc | Technician/Technologist | 8233 164th St, Jamaica, NY 11432-1120 | 2010-03-11 |
| 1033446463 | Jamaica Optical Inc. | Technician/Technologist | 14620 Jamaica Ave, Jamaica, NY 11435-3628 | 2009-11-05 |
| 1679674519 | Igor Kizhnerman | Technician/Technologist | 16803 Jamaica Ave, Jamaica, NY 11432 | 2006-09-25 |
| 1740219096 | Robert Phillip Kaplan | Technician/Technologist | 13809 Queens Blvd, Jamaica, NY 11435-2641 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| 1215577507 | Denise R Jones | Technician/Technologist | 6115 Metropolitan Ave # Store549, Ridgewood, NY 11385-2644 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
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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.