JOSE LARES-GUIA PHYSICIAN PC (NPI# 1760816367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760816367 |
| Entity Type | Organization |
| Organization Name | JOSE LARES-GUIA PHYSICIAN PC |
| Practice Address |
1123 Broadway Suite 1017 New York NY 10010-2007 |
| Practice Telephone | 6464299555 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2015-08-14 |
| Authorized Official Name | DR. JOSE M LARES-GUIA (PRESIDENT) |
| Authorized Official Telephone | 6464299555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03161662 | 05 |
| Street Address |
1123 BROADWAY SUITE 1017 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10010-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194701417 | Robin Kappy | Social Worker | 1123 Broadway, 914, New York, NY 10010-2007 | 2005-12-19 |
| 1104370139 | Jennifer Sanclements, Lcsw | Social Worker | 1123 Broadway, Suite 1020, New York, NY 10010-2007 | 2016-08-08 |
| 1053795427 | Robin Millet | Dietitian, Registered | 1123 Broadway, Suite 319, New York, NY 10010-2007 | 2015-07-16 |
| 1033525951 | Anna Eckhardt | Social Worker | 1123 Broadway, Suite 319, New York, NY 10010-2007 | 2014-07-11 |
| 1770825705 | John D. Welch | Social Worker | 1123 Broadway, Ste. 1124, New York, NY 10010-2007 | 2013-03-16 |
| 1699014688 | Scott David Liff | Social Worker | 1123 Broadway, Suite 1205, New York, NY 10010-2007 | 2013-02-11 |
| 1295093011 | Iona Luisa Aibel | Psychologist | 1123 Broadway, Suite 308, New York, NY 10010-2007 | 2012-04-30 |
| 1023395837 | Marissa H Mcmillin | Social Worker | 1123 Broadway, Ste. 1115, New York, NY 10010-2007 | 2011-11-08 |
| 1518266055 | Sharon Leslie Kleinberg | Social Worker | 1123 Broadway, Suite 810, New York, NY 10010-2007 | 2011-03-23 |
| 1386940690 | Cindy E Levitz, Lic Acupuncturist, Pllc | Acupuncturist | 1123 Broadway, Suite 418, New York, NY 10010-2007 | 2011-02-03 |
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| 1437779766 | Sunny Makhijani | Student in an Organized Health Care Education/Training Program | 423 E 23rd St, New York, Ny 10010, New York, NY 10010 | 2020-04-16 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1750911632 | Repair Physical Therapy PC | Clinic/Center | 204 East 25th Street, Suite 1, New York, NY 10010 | 2020-01-20 |
| 1134789084 | Auth Acupuncture Pllc | Acupuncturist | 20 W.22nd St. Ground Floor, New York, NY 10010 | 2019-06-13 |
| 1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
| 1144703687 | Kimmy Ramotar | Psychologist | 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 | 2018-09-11 |
| 1922580406 | Hye Soo Kim | Dentist | 345 E 24th St. 4w, New York, NY 10010 | 2018-08-31 |
| 1487172482 | Dominique Ann Williams | Psychologist | 295 Park Ave South, Apt# 17pho, New York, NY 10010 | 2017-08-30 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1689136137 | Michael Gordon | General Practice | 750 Columbus Ave Apt 6a, New York, NY 10025-6477 | 2019-04-03 |
| 1538651385 | Caroline Roberta Campbell | General Practice | 129 W 81st St Apt 3, New York, NY 10024-7207 | 2018-06-06 |
| 1104317973 | Michael Stavis Bohl | General Practice | 235 W 48th St Apt 34a, New York, NY 10036-1431 | 2018-05-28 |
| 1841793015 | Xin He | General Practice | 60 W 75th St Lowr Level, New York, NY 10023-2016 | 2018-03-14 |
| 1811497381 | James Uhrig | General Practice | 316 W 84th St Apt 6g, New York, NY 10024-4249 | 2018-02-20 |
| 1730607391 | Ruben Osvaldo Garcia | General Practice | 400 E 52nd St Apt 12j, New York, NY 10022-6407 | 2017-09-05 |
| 1992231294 | Paul Promadhattvedi | General Practice | 255 Fort Washington Ave Apt 41, New York, NY 10032-1252 | 2017-05-04 |
| 1407381486 | Taber Cloey Lightbourne | General Practice | 1051 Riverside Drive, Box 103, New York, NY 10032 | 2017-04-27 |
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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.