MRS. MICHELLE ANNE ENTOMA GUANZON (NPI# 1922253566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922253566 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE ANNE ENTOMA GUANZON |
| Credential | P.T. |
| Practice Address |
21 Mill St Liberty NY 12754-2010 |
| Practice Telephone | 8452928810 |
| Practice Fax Number | 8452928832 |
| Mailing Telephone | 8452928810 |
| Mailing Fax Number | 8452928832 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 028729 | NY | Other Service Providers |
| Street Address |
21 MILL ST |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787003 | Catskill Chiropractic Diagnostics, P.C. | Chiropractor | 21 Mill St, Liberty, NY 12754-2010 | 2020-10-09 |
| 1093287401 | Katya Czarina Ditan | Physical Therapist | 21 Mill St, Liberty, NY 12754-2010 | 2018-12-24 |
| 1164939773 | Willan Smith Garcia | Physical Therapist | 21 Mill St, Liberty, NY 12754-2010 | 2018-01-04 |
| 1689702201 | Advanced Physical Therapy & Chiropractic, Pllc | Chiropractor | 21 Mill St, Liberty, NY 12754-2010 | 2007-03-02 |
| 1326184136 | Mark Spina | Chiropractor | 21 Mill St, Liberty, NY 12754-2010 | 2007-01-29 |
| 1841343621 | Spina Chiropractic Office PC | Chiropractor | 21 Mill St, Liberty, NY 12754-2010 | 2007-01-18 |
| 1912050709 | Advanced Health & Medical,p.c. | Legal Medicine | 21 Mill St, Liberty, NY 12754-2010 | 2007-01-18 |
| 1659424372 | Advanced Medical of Middletown PC | Legal Medicine | 21 Mill St, Liberty, NY 12754-2010 | 2007-01-18 |
| 1356430540 | Sullivan County Physical Therapy,pc | Physical Therapist | 21 Mill St, Liberty, NY 12754-2010 | 2006-10-12 |
| 1992726038 | Novalyn Ramos | Physical Therapist | 21 Mill St, Liberty, NY 12754-2010 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
| Find all providers in zip 12754 | ||||
| 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 |
|---|---|---|---|---|
| 1720644511 | Fiona Streimer | Specialist | 5 Triangle Rd, Liberty, NY 12754-3368 | 2019-05-16 |
| 1275085334 | Aaron Wilkerson | Specialist | 527 N Grover St, Liberty, MO 64068-1619 | 2016-10-25 |
| 1104004910 | Southwest Mississippi Emergency Physicians, Ltd | Specialist | 3549 Lower Centreville Rd, Liberty, MS 39645-8294 | 2008-02-04 |
| 1659329050 | Hussein Omar, Physician, P.C. | Specialist | 1885 State Route 52, Liberty, NY 12754-8309 | 2006-05-05 |
| 1285633560 | Daniel A Triplett | Specialist | 2529 Glenn Hendren Dr, Suite 200, Liberty, MO 64068-9625 | 2005-07-19 |
| 1740283753 | Thomas F Jones | Specialist | 2521 Glenn Hendren Dr, Ste 408, Liberty, MO 64068-3388 | 2005-05-23 |
| 1477044840 | New Liberty Hospital Coporation | Specialist | 2521 Glenn Hendren Dr Ste 402, Liberty, MO 64068 | 2018-05-22 |
| 1295829331 | Leslie D Thomas | Specialist | 2521 Glenn Hendren Dr, Suite 310, Liberty, MO 64068-3388 | 2006-10-03 |
| 1225069032 | Kent L Haggard | Specialist | 2529 Glenn Hendren Dr Ste 202, Liberty, MO 64068-9602 | 2006-07-06 |
| 1346270212 | Urology Specialists P.C. | Specialist | 2529 Glenn Hendren Dr, Suite 202, Liberty, MO 64068-9625 | 2006-07-04 |
| Find all providers in LIBERTY | ||||
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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.