ETERNITY PHYSICAL THERAPY PC. (NPI# 1538460126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538460126 |
| Entity Type | Organization |
| Organization Name | ETERNITY PHYSICAL THERAPY PC. |
| Practice Address |
150 Broadway Suite 1302 New York NY 10038 |
| Practice Telephone | 2127851651 |
| Mailing Telephone | 2127851651 |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | DR. DARLENZY DARBOUZE (CEO) |
| Authorized Official Telephone | 9179771550 |
| Authorized Official Credential | D.P.T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
031590 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
150 BROADWAY SUITE 1302 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241162 | Tam Medical LLC | Physical Therapist | 150 Broadway, New York, NY 10038-4381 | 2019-12-05 |
| 1619483633 | Joshua Lipsman Md Pllc | Preventive Medicine | 150 Broadway, 1213, New York, NY 10038-4381 | 2017-12-28 |
| 1568902054 | Virali Patel | Physician Assistant | 150 Broadway, Suite Number 1702, New York, NY 10038-4381 | 2017-03-02 |
| 1366986028 | Mylinh Phuong Ha | Nurse Practitioner | 150 Broadway, #1115, New York, NY 10038-4381 | 2016-12-14 |
| 1528519170 | Jagpreet Kaur | Massage Therapist | 150 Broadway, Suite 1115, New York, NY 10038-4381 | 2016-10-19 |
| 1205227543 | Jill Sealee | Acupuncturist | 150 Broadway, Suite 1701, New York, NY 10038-4381 | 2015-02-09 |
| 1194133991 | Dawn Hardin | Specialist | 150 Broadway, Suite 1701, New York, NY 10038-4381 | 2014-07-24 |
| 1184043937 | Nancy J. Hoffer Ph.d, Psychologist, PC | Psychologist | 150 Broadway, Suite 2206, New York, NY 10038-4381 | 2014-04-09 |
| 1114265345 | Rhyna Mosquera | Behavioral Analyst | 150 Broadway, New York, NY 10038-4381 | 2013-01-23 |
| 1568724722 | Jose R Martinez | Specialist | 150 Broadway, Suite 1701, New York, NY 10038-4381 | 2012-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353575 | Jacqueline Michelle Collins | Speech-Language Pathologist | 144-176 E 128th Street, New York, NY 10038 | 2019-12-16 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1407412802 | Corner Chemists Pharmacy LLC | Pharmacy | 11 Henry Street, New York, NY 10038 | 2019-05-13 |
| 1235603374 | Chuan Jing Mou | Acupuncturist | 7-8 Chatham Square #805, New York, NY 10038 | 2019-01-11 |
| 1023531654 | Natalie Considine | Counselor | 75 Maiden Ln Ste 341, New York, NY 10038 | 2017-07-25 |
| 1801319199 | Cecile Bell | Registered Nurse | 15 St James Place, Apt 10 I, New York, NY 10038 | 2017-07-19 |
| 1598206088 | Jessica Moreno | Registered Nurse | 182 South Street Apt 8e, New York, NY 10038 | 2017-03-16 |
| 1801258678 | Disha Vin | Physical Therapist | 160 Broadway East Building, New York, NY 10038 | 2016-03-22 |
| 1861877110 | Andrew Zhu | Physician Assistant | 70 William Street, New York, NY 10038 | 2015-07-29 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
| Find all providers in zip 10038 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625777 | Aliage M Walters | Specialist/Technologist, Other | 435 Central Park W Apt 50, New York, NY 10025-4377 | 2019-08-23 |
| 1154985562 | Jayne C Figuera | Specialist/Technologist, Other | 45 W 132nd St Apt 7b, New York, NY 10037-3110 | 2019-05-01 |
| 1417438599 | Esther Mashaiv | Specialist/Technologist, Other | 7345 197st Flushing, New York, NY 11366 | 2018-08-27 |
| 1962990176 | Yuki Arai | Specialist/Technologist, Other | 10 E 23rd St Ste 220, New York, NY 10010-4467 | 2018-04-24 |
| 1811295413 | Seon Hwa Park | Specialist/Technologist, Other | 38 W 32nd St Ste 1001, New York, NY 10001-3880 | 2011-03-05 |
| 1699374165 | Jose M Bautista | Specialist/Technologist, Other | 5030 Broadway Ste 642, New York, NY 10034-1616 | 2020-10-25 |
| 1871151209 | Drew Copeland | Specialist/Technologist, Other | 5 E 98th St Fl 3, New York, NY 10029-6501 | 2019-05-31 |
| 1235664012 | Svetlana Kestel | Specialist/Technologist, Other | 200 Park Ave S, Suite 1103, New York, NY 10003-1503 | 2017-04-28 |
| 1467996207 | John Cosgrove | Specialist/Technologist, Other | 622 W 168th St, Presbyterian Hospital, 11th Floor- Center Wing, New York, NY 10032-3720 | 2016-12-13 |
| 1134593411 | Neuro and Orthopedic Monitoring and Testing Associates Pllc | Specialist/Technologist, Other | 915 Broadway, Suite 1200, New York, NY 10010 | 2015-11-24 |
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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.