MS. KIMBERLY K STAVROLAKES


Address: 622 W 168th St, Vc 3-363, New York, NY 10032-3720
Phone: 2123050890

MS. KIMBERLY K STAVROLAKES (NPI# 1679792055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679792055
Entity Type Individual
Full Name MS. KIMBERLY K STAVROLAKES
Credential P.T.
Practice Address 622 W 168th St
Vc 3-363
New York
NY 10032-3720
Mailing Address 111 Cedar Hill Rd
Bedford
NY 10506-2017
Practice Telephone 2123050890
Practice Fax Number 2123050412
Mailing Telephone 2123050890
Mailing Fax Number 2123050412
Enumeration Date 2007-04-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251C2600X Physical Therapist
Specialization: Cardiopulmonary
012683-1 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 622 W 168TH ST
VC 3-363
City NEW YORK
State NY
Zip Code 10032-3720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982608493 Eastside Orthotics and Prosthetics, Inc. Durable Medical Equipment & Medical Supplies 622 W 168th St, Vc333, New York, NY 10032 2005-06-13
1790386399 Carl Elliston Radiology 622 W 168th St, Department of Radiation Oncology, New York, NY 10032 2020-11-02
1275140758 Alyssa Hope Diaz Nurse Practitioner 622 W 168th St, New York, NY 10032-3720 2020-09-28
1295341873 Ann Mchugh Obstetrics & Gynecology 622 W 168th St, New York, NY 10032-3720 2020-09-19
1821604778 Kellie Kolessar Physician Assistant 622 W 168th St, New York, NY 10032-3720 2020-09-16
1912525833 Fanny Ok Physician Assistant 622 W 168th St, New York, NY 10032-3720 2020-07-07
1982221644 Ashley D Gandhi Physician Assistant 622 W 168th St, New York, NY 10032-3720 2020-06-29
1891311080 Demond Harrison Respiratory Therapist, Registered 622 W 168th St, New York, NY 10032-3720 2020-06-23
1073136115 Dennis Man Pharmacist 622 W 168th St, New York, NY 10032-3720 2020-05-23
1205457801 Adam Sands Student in an Organized Health Care Education/Training Program 622 W 168th St, New York, NY 10032-3720 2020-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658301 Julia Sophia White Registered Nurse 622 W 168th St, New York, Ny, New York, NY 10032 2020-10-29
1326653411 Simbarashe S Mudiwa Massage Therapist 615 W 165th St, Apt 1b, New York, NY 10032 2020-09-15
1063021335 Margaret E O'neil Physical Therapist 180 Fort Washington St, Harkness 1-164, New York, NY 10032 2020-07-23
1780207480 Bing Mei Teh Student in an Organized Health Care Education/Training Program 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 2020-05-28
1295354116 Kavin Fatehchand Student in an Organized Health Care Education/Training Program 630 West 168th Street, New York, Ny 10032, New York, NY 10032 2020-04-10
1417584020 Laura Faye Willard Student in an Organized Health Care Education/Training Program 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 2020-03-24
1356976641 Thomas Joseph Cahill Student in an Organized Health Care Education/Training Program Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 2020-03-06
1346874765 Paulo Roberto De Paula Selber Orthopaedic Surgery Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 2020-02-25
1720611312 Rachel Dawn Vanderlaan Thoracic Surgery (Cardiothoracic Vascular Surgery) Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 2020-02-21
1881225928 Daniel Molina Garcia Social Worker 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 2020-01-28
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Taxonomy Information

Taxonomy Code 2251C2600X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Cardiopulmonary

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114258225 Eitan Daniel Physical Therapist 622 W 168th St, New York, NY 10032-3720 2010-01-29
1790805620 David Marc Zemmel Physical Therapist 177 Fort Washington Ave, New York Presbyterian Hospital, New York, NY 10032-3733 2007-04-02
1114054111 Jacqueline Sue Pfeffer Physical Therapist 622 W 168th St, New York, NY 10032-3720 2007-02-27
1952493256 Lina M Tovar Physical Therapist 1 Gustave L Levy Pl, Box 1674, New York, NY 10029-6500 2006-09-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811534068 Chris Scanlon Physical Therapist 601 Elmwood 601 Elmwood Ave, Rochester, NY 14642-0001 2019-12-06
1447479183 Peg Meisler Physical Therapist 51 S Route 9w # 55, West Haverstraw, NY 10993-1055 2007-04-24
1164874061 Andrew Ray Physical Therapist 2801 Wehrle Dr, Suite #7, Williamsville, NY 14221-7381 2016-07-05
1508142324 Pamela Bartlo Physical Therapist 320 Porter Ave, Buffalo, NY 14201-1032 2011-10-25
1114245644 Tamara Beth Weinstein Physical Therapist 272 N Bedford Rd, Mount Kisco, NY 10549-1103 2010-05-07
1104027259 North French Physical Therapy LLC Physical Therapist 646 N French Rd, Suite 5, Amherst, NY 14228-2100 2007-05-29
1154531036 Mark Garry Harris Physical Therapist 515 Main St, Olean General Hospital, Olean, NY 14760-1513 2007-05-22
1689888125 Marie Carmel Dustamante Ordeniza Physical Therapist 3166 Bainbridge Ave, Suite 1b, Bronx, NY 10467-3922 2007-05-10
1164634036 Health Enhancement Physicians P.C. Physical Therapist 955 Yonkers Ave, Ste#201, Yonkers, NY 10704-3060 2007-05-04
1033242805 Patrick James Jewels Physical Therapist 159 Indian Head Rd, Commack, NY 11725-2205 2007-03-13
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Competitor

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City NEW YORK
Zip Code 10032

Improve Information

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Dataset Information

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.

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