CARLY ANN CLARK (NPI# 1518106632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518106632 |
| Entity Type | Individual |
| Full Name | CARLY ANN CLARK |
| Credential | L.M.T |
| Practice Address |
127 W 79th St Suite 4 New York NY 10024-6416 |
| Mailing Address |
1164 Pacific St Apt B1 Brooklyn NY 11216-2944 |
| Practice Telephone | 6073167918 |
| Mailing Telephone | 6073167918 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 022370 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518471697 | Carly Clark | Dietitian, Registered | 1267 Norberry Ct Apt 36, Cranberry Township, PA 16066-5117 | 2017-11-28 |
| 1760827356 | Carly Rene' Clark | Advanced Practice Dental Therapist | 3324 N Arlington Pl, Portland, OR 97217-7204 | 2013-05-08 |
| 1790151256 | Carly Clark | Physical Therapy Assistant | 159 W 1st St, Oswego, NY 13126-2045 | 2015-08-18 |
| 1427436773 | Carly Clark | Dental Hygienist | 2828 Zuni St, Apt 110, Denver, CO 80211-4331 | 2015-05-07 |
| Street Address |
127 W 79TH ST SUITE 4 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10024-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801821954 | Mark Howard Goldenthal | Psychologist | 127 W 79th St, Suite 5, New York, NY 10024-6416 | 2006-07-11 |
| 1326382284 | Eric Barnett Leventhal, Lcsw, P.C. | Social Worker | 127 W 79th St, Suite 1n, New York, NY 10024-6416 | 2012-11-15 |
| 1336438035 | William Joseph Solodow | Psychologist | 127 W 79th St, New York, NY 10024-6416 | 2011-04-04 |
| 1578882122 | Neil Edward Altman | Psychologist | 127 W 79th St, 3, New York, NY 10024-6416 | 2010-05-21 |
| 1972821940 | Hilla Steinberg, M.d., Pllc | Ophthalmology | 127 W 79th St, Suite 6, New York, NY 10024-6416 | 2010-05-14 |
| 1336375328 | Bette Ellen Clark | Psychologist | 127 W 79th St, Suite 3, New York, NY 10024-6416 | 2009-06-03 |
| 1649463688 | Michael Devito | Dentist | 127 W 79th St, Suite 2, New York, NY 10024-6416 | 2007-08-23 |
| 1205958154 | Deborah Liner | Psychologist | 127 W 79th St, Suite 5, New York, NY 10024-6416 | 2007-04-04 |
| 1083734644 | Manhattan Dental Care | Dentist | 127 W 79th St, New York, NY 10024-6416 | 2007-03-29 |
| 1548385131 | Johanna M Jacobs | Dentist | 127 W 79th St, Manhattan Dental Care, New York, NY 10024-6416 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023646387 | Peter Avery | Psychologist | 230 Central Park West, First Floor, #5, New York, NY 10024 | 2020-03-31 |
| 1417588526 | Amelia Rogers Lindberg | Physical Therapist | 230 West 79th Street, Apt 124s, New York, NY 10024 | 2020-01-28 |
| 1720636640 | By Your Side Services Licensed Applied Behavior Analyst Practice Pllc | Community/Behavioral Health | 105 W. 86th Street, #228, New York, NY 10024 | 2019-09-04 |
| 1407408453 | Barbara Bessin Zucker | Social Worker | 565 West End Ave. - Suite 1a, New York, NY 10024 | 2019-07-10 |
| 1609337815 | Pratistha Maharjan | Physical Therapist | 86th Street, 2w #1, Manhattan, NY 10024 | 2019-03-29 |
| 1396215968 | Sara Kahn | Nutritionist | 267 W. 89th Street Apt 5a, New York, NY 10024 | 2018-11-27 |
| 1205311586 | Matthew Ludwig Spieler | Psychologist | 255 W 88th St Apt 9e, New York, NY 10024 | 2018-10-02 |
| 1629576475 | Christopher Eldredge | Social Worker | 52 Riverside Drive, Suite 1a, New York, NY 10024 | 2018-01-26 |
| 1154850717 | Anthony William Zoghbi Md | Psychiatry & Neurology | 140 West 79th Street, Suite 1f-2, New York, NY 10024 | 2017-06-07 |
| 1821526955 | Noel Bohl-fabian | Social Worker | 140 W 79th St Apt 2b, New York, NY 10024 | 2017-06-02 |
| Find all providers in zip 10024 | ||||
| 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 |
| 1477150779 | Crystal Edgeworth | Massage Therapist | 2322 Adam Clayton Powell Jr Blvd Apt 1b, New York, NY 10030-2555 | 2020-10-08 |
| 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 |
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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.