LUCIOUS CONWAY (NPI# 1659718625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659718625 |
| Entity Type | Individual |
| Full Name | LUCIOUS CONWAY |
| Practice Address |
201 W 122nd St 504 New York NY 10027-5410 |
| Practice Telephone | 7185144560 |
| Mailing Telephone | 7185144560 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CARC-90 | NY | Behavioral Health & Social Service Providers |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
200924 | OK | Behavioral Health & Social Service Providers |
| Street Address |
201 W 122ND ST 504 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10027-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457790776 | Recovery Coaching Service of New York, LLC | Case Management | 201 W 122nd St, 504, New York, NY 10027-5410 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1720691199 | Mohamad El Zein | Student in an Organized Health Care Education/Training Program | 281 West 132nd Street, App Nb 2, New York, NY 10027 | 2020-08-26 |
| 1194335893 | Cynthia Wiggins | Social Worker | 1255 Amsterdam Avenue, New York, NY 10027 | 2020-08-06 |
| 1497399877 | Dr. F Sanchez Dental Arts Pllc | Dentist | 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 | 2019-10-29 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1396216818 | Gissel Lopez | Licensed Practical Nurse | 119west 124th Street, New York, NY 10027 | 2018-12-10 |
| 1831660620 | Katherine Gonzalez | Licensed Practical Nurse | 119 121 W 124th Street, New York, NY 10027 | 2018-12-06 |
| 1003383456 | Ebony S Prescott | Specialist | 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027 | 2018-10-24 |
| 1619456589 | Arts of Optics Corp. | Optometrist | 200 W 125th St, New York, NY 10027 | 2018-08-10 |
| 1205355658 | Frederick Community Pharmacy Inc | Pharmacy | 2450 Frederick Douglas Blvd, New York, NY 10027 | 2017-09-18 |
| Find all providers in zip 10027 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018713 | The Dorm Lcsw, Pllc | Counselor | 175 W 72nd St Frnt 2, New York, NY 10023-3203 | 2020-09-17 |
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1942814595 | Anthony Mitchell Jr. | Counselor | 1090 Saint Nicholas Ave Frnt A, New York, NY 10032-3809 | 2020-09-01 |
| 1811517188 | Legacy House Inc | Counselor | 200 W 131st St Apt 10c, New York, NY 10027-2041 | 2020-04-16 |
| 1427695022 | Samuel Underwood | Counselor | 1727 Amsterdam Ave Fl 3, New York, NY 10031-4611 | 2019-12-03 |
| 1851954135 | Rebecca Forer | Counselor | 316 E 88th St Fl 3, New York, NY 10128-4909 | 2019-04-22 |
| 1043775380 | Jennisel A Marte | Counselor | 174 Nagle Ave Apt 31, New York, NY 10034-6039 | 2019-01-31 |
| 1215401195 | Anika Nakia Carter | Counselor | 192 Bradhurst Ave Apt 11, New York, NY 10039-1408 | 2019-01-14 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| 1760958110 | Oren Mayo | Counselor | 116 E 92nd St Bsmt, New York, NY 10128-1620 | 2018-10-23 |
| 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.