IDA LISSETE CREQUE (NPI# 1740668714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740668714 |
| Entity Type | Individual |
| Full Name | IDA LISSETE CREQUE |
| Credential | MSED SWD |
| Practice Address |
2290 University Ave Apt 3i Bronx NY 10468-6225 |
| Practice Telephone | 7183648942 |
| Mailing Telephone | 7183648942 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
2290 UNIVERSITY AVE APT 3I |
| City | BRONX |
| State | NY |
| Zip Code | 10468-6225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206027 | Mirna Aracelis Vasquez | Specialist | 1691 E 174th St Apt 3a, Bronx, NY 10472-1733 | 2020-08-19 |
| 1588273874 | Lorens Dominguez | Specialist | 1280 Commonwealth Ave Apt 2l, Bronx, NY 10472-2816 | 2020-07-23 |
| 1184242935 | Mayelin Y Rodriguez | Specialist | 2910 Valentine Ave Apt 26a, Bronx, NY 10458-2762 | 2020-07-08 |
| 1972120251 | Osaze Monica Igbineweka | Specialist | 590 Eagle Ave, Bronx, NY 10455-2915 | 2020-07-02 |
| 1285253948 | Omaira Alfonsina Tejada Amaro | Specialist | 234 E 149th St Ste 4-20, Bronx, NY 10451-5504 | 2020-04-13 |
| 1417586595 | Vascular Medicine of New York, Pllc | Specialist | 3250 Westchester Ave Ste 201, Bronx, NY 10461-4580 | 2020-04-02 |
| 1154954493 | Belmont Medical PC | Specialist | 2525 Belmont Ave, Bronx, NY 10458 | 2020-02-14 |
| 1043850423 | Katherine Hambel | Specialist | 283 E 234th St Apt 2e, Bronx, NY 10470-2212 | 2020-01-13 |
| 1801435953 | Delis S Ventura | Specialist | 74 Van Cortlandt Park S Apt Ee31, Bronx, NY 10463-3075 | 2020-01-06 |
| 1528606282 | Steffani M Russo | Specialist | 3058 Bailey Ave Apt 2s, Bronx, NY 10463-5820 | 2019-12-12 |
| Find all providers in BRONX | ||||
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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.