MRS. KELLY DEPAOLIS (NPI# 1740578418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740578418 |
| Entity Type | Individual |
| Full Name | MRS. KELLY DEPAOLIS |
| Credential | MASSAGE THERAPIST |
| Practice Address |
20 Buchanan St Pearl River NY 10965-1508 |
| Practice Telephone | 8457352160 |
| Mailing Telephone | 8457352160 |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
20 BUCHANAN ST |
| City | PEARL RIVER |
| State | NY |
| Zip Code | 10965-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467967331 | Alenka Ravnik List Rdn Pllc | Dietitian, Registered | 9 Violet Dr, Pearl River, NY 10965 | 2017-12-13 |
| 1427577212 | Jacqueline Dubil Craig | Behavioral Analyst | 14 Elmendorf Lane, Pearl River, NY 10965 | 2017-09-13 |
| 1356770481 | Jennifer Marie Manfredonia | Nurse Practitioner | 200 N. Middletown Road, Pearl River, NY 10965 | 2013-11-08 |
| 1760822852 | Elizabeth Eanniello | Social Worker | 49 Meadows Street, Pearl River, NY 10965 | 2013-07-03 |
| 1679874002 | Winifred Ann Convery | Physical Therapy Assistant | 644 Orangeburg Ave, A Starting Place, Pearl River, NY 10965 | 2010-11-17 |
| 1548413511 | R Troy Q Noval | Physical Therapist | 195 Townline Rd, Pearl River, NY 10965 | 2008-11-03 |
| 1306068671 | Helen Perakis | Otolaryngology | 150 S. Pearl Street, Pearl River, NY 10965 | 2007-05-03 |
| 1609906700 | Robert Daniel Jablonski Jr. | Otolaryngology | 26 Franklin Avenue, Pearl River, NY 10965 | 2007-03-07 |
| 1265599187 | Bruce L. Rothschild Dds & Associates Pllc | Dentist | 300 N Middletown Rd., Suite 9, Pearl River, NY 10965 | 2007-01-02 |
| 1619038221 | Stefan P Kurucz | Internal Medicine | 300 North Middletown Road, Suite 11, Pearl River, NY 10965 | 2006-12-13 |
| Find all providers in zip 10965 | ||||
| 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 |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | PEARL RIVER |
| Zip Code | 10965 |
Please comment or provide details below to improve the information on MRS. KELLY DEPAOLIS.
| 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.