EASTERN PORTABLE X-RAY CORPORATION (NPI# 1871524975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871524975 |
| Entity Type | Organization |
| Organization Name | EASTERN PORTABLE X-RAY CORPORATION |
| Practice Address |
20 Peachtree Ct Suite 205 Holbrook NY 11741-4616 |
| Practice Telephone | 6315637777 |
| Practice Fax Number | 6315631078 |
| Mailing Telephone | 6315637777 |
| Mailing Fax Number | 6315631078 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-10-10 |
| Authorized Official Name | STEVEN MERCED (PRESIDENT) |
| Authorized Official Telephone | 6315637777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
51019365 | NY | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01901977 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730104720 | Eastern Portable X-ray Corporation | Radiologic Technologist | 20 Peachtree Ct, Suite 205, Holbrook, NY 11741-4616 | 2006-07-12 |
| Street Address |
20 PEACHTREE CT SUITE 205 |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497717 | Stephen Michael Joseph | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2005-12-14 |
| 1124569967 | Kathryn Dibenedetto | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2017-03-13 |
| 1144674359 | Clinical Care Associates, P.C. | Community/Behavioral Health | 20 Peachtree Ct, Suite 100, Holbrook, NY 11741-4616 | 2016-04-14 |
| 1548625601 | Tatyana Prusakova | Occupational Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-12-16 |
| 1922481555 | Jean Paul Lo | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-07-01 |
| 1487032017 | Estrellita Ammirati | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-05-15 |
| 1942687579 | Prn Physical & Occupational Therapy Network | Residential Treatment Facility, Physical Disabilities | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-05-04 |
| 1588041636 | Susan Peel | Occupational Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-04-28 |
| 1013315407 | Teresita Corpus | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2014-12-17 |
| 1134522931 | Youssef Boles | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2014-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| Find all providers in zip 11741 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427490499 | Jennifer Garcia | Radiologic Technologist | 1440 54th St Apt 1e, Brooklyn, NY 11219-4229 | 2013-07-19 |
| 1457692550 | New Wave Imaging Corp | Radiologic Technologist | 2402 Ocean Ave, Suite 3, Ronkonkoma, NY 11779-6077 | 2013-03-14 |
| 1245435098 | Rachel L Westbrook | Radiologic Technologist | 215 W 16th St, Elmira Heights, NY 14903-1232 | 2007-06-20 |
| 1548332935 | Hillside Radiology | Radiologic Technologist | 16403 Hillside Ave, Jamaica, NY 11432-4140 | 2006-11-14 |
| 1932698628 | Shaundell Cyntje | Radiologic Technologist | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2018-05-08 |
| 1841660404 | Robert Cernasov | Radiologic Technologist | 423 E 23rd St, New York, NY 10010-5011 | 2015-09-25 |
| 1609245075 | Yi Shing Liu | Radiologic Technologist | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2015-09-16 |
| 1679914220 | Courtney Sullivan | Radiologic Technologist | 520 E 70th St, New York, NY 10021-9800 | 2013-07-11 |
| 1659711653 | Stephen Pilch | Radiologic Technologist | 550 First Avenue, New York, NY 10016 | 2013-07-05 |
| 1528408382 | Bella Milova | Radiologic Technologist | 423 E 23rd St, New York, NY 10010-5011 | 2013-06-26 |
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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.