TDL MEDICAL,PC (NPI# 1922306901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922306901 |
| Entity Type | Organization |
| Organization Name | TDL MEDICAL,PC |
| Practice Address |
2546 E 17th St Brooklyn NY 11235-3516 |
| Practice Telephone | 7183680300 |
| Practice Fax Number | 7183680301 |
| Mailing Telephone | 7183680300 |
| Mailing Fax Number | 7183680301 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |
| Authorized Official Name | DR. LESLIE D THEODORE (PRESIDENT) |
| Authorized Official Telephone | 6319602544 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
2546 E 17TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285051888 | Bnm Group Inc | Case Manager/Care Coordinator | 2546 E 17th St, 3rd Floor, Brooklyn, NY 11235-3560 | 2014-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463466 | Sk Tutoring Center LLC | Speech-Language Pathologist | 3360 Shore Parkway, Suite C1, Brooklyn, NY 11235 | 2020-09-24 |
| 1841803665 | Svetlana Gaitchikova | Registered Nurse | 35 Seacrest Terrace, Brooklyn, NY 11235 | 2020-08-31 |
| 1427661198 | Kizzy Marie Salguero | Social Worker | 2625, East 14th Street Suite 200, Brooklyn, NY 11235 | 2020-08-24 |
| 1861015042 | Aspire Physical Therapy PC | Physical Therapist | 3000 Ocean Pkwy #2jtrump Village 1, Brooklyn, NY 11235 | 2020-05-22 |
| 1093337248 | Dhwani Patel | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Coney Island Hospi, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-05-11 |
| 1780203596 | Thomas George | Student in an Organized Health Care Education/Training Program | Nyc Health & Hospitals/coney Island, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-04-11 |
| 1326676537 | Olukayode Ahmed Busari | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway Brooklyn, New York, NY 11235 | 2020-04-01 |
| 1831759323 | Daniel Groisman | Case Manager/Care Coordinator | 2571 East 17th Street, Groundfloor, Brooklyn, NY 11235 | 2019-06-17 |
| 1013577998 | Aaron Rene Allick Douen | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway, 4th Floor 4n98, Brooklyn, NY 11235 | 2019-06-13 |
| 1609431162 | Anna Pozdner | Speech-Language Pathologist | 2571 E 17th St, Brooklyn, Brooklyn, NY 11235 | 2019-05-09 |
| Find all providers in zip 11235 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751656 | Nolimits Nyc Corp | Clinic/Center | 2753 Coney Island Ave Fl 1, Brooklyn, NY 11235-5015 | 2019-10-15 |
| 1033698790 | Perfect Child LLC | Clinic/Center | 1255 E 31st St, Brooklyn, NY 11210-4740 | 2018-08-13 |
| 1912454521 | Tri-county Medical Care, P.C. | Clinic/Center | 293 Division Avenue, Brooklyn, NY 11211-7386 | 2016-09-01 |
| 1730632621 | Ts Chiropractic Wellness, P.C. | Clinic/Center | 1735 Pitkin Ave., Brooklyn, NY 11212-6603 | 2016-07-27 |
| 1770953093 | Alla Vasserman | Clinic/Center | 2934 Brighton 4th St, Apt 5, Brooklyn, NY 11235-8527 | 2015-09-29 |
| 1487998241 | Bd O&p | Clinic/Center | 943 46th St, Brooklyn, NY 11219-2332 | 2012-11-19 |
| 1578876454 | D.l Acupuncture, PC | Clinic/Center | 7104 18th Ave, Brooklyn, NY 11204-5258 | 2010-07-20 |
| 1578892121 | Sasan Family Chiropractic P.c | Clinic/Center | 8717 21st Ave Ste Basement, Brooklyn, NY 11214-4951 | 2009-12-10 |
| 1891023180 | Lalit Patel Physician PC | Clinic/Center | 360-a 9th St, Brooklyn, NY 11215-4008 | 2009-11-24 |
| 1548306467 | Venus Screening and Supplies Inc | Clinic/Center | 1115 Ocean Parkway, Level C Suite 101a, Brooklyn, NY 11230-4002 | 2007-01-29 |
| Find all providers in BROOKLYN | ||||
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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.