ANDREY TAKHTOVICH (NPI# 1942707583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942707583 |
| Entity Type | Individual |
| Full Name | ANDREY TAKHTOVICH |
| Practice Address |
555 Saint Josephs Blvd Elmira NY 14901-3223 |
| Mailing Address |
92 Stonehurst Dr Tenafly NJ 07670-2917 |
| Practice Telephone | 6077958035 |
| Mailing Telephone | 2012278598 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
555 SAINT JOSEPHS BLVD |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740256809 | Sydney Welt | Internal Medicine | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2006-02-27 |
| 1467092452 | Madison Kathryn Gluck | Physical Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3256 | 2020-01-08 |
| 1992345003 | Rachel Bush | Physical Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2020-01-07 |
| 1831742816 | Nes Medical Services of New York PC | Emergency Medicine | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2019-07-19 |
| 1841759529 | Amanda M Northrop | Occupational Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2019-03-13 |
| 1245708056 | Emily Pauline Clark | Physical Medicine & Rehabilitation | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-11-09 |
| 1821563347 | Tarah Marie Babcock | Physical Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-10-11 |
| 1992289888 | Sarah Jessica Osburn | Physical Therapy Assistant | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-09-18 |
| 1770069536 | St. Joseph's Hospital | Clinic/Center | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-07-16 |
| 1982100186 | David Frederick Bayne | Speech-Language Pathologist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
| Find all providers in zip 14901 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467287 | Justin Alvarez Holmes | Student in an Organized Health Care Education/Training Program | 200 Madison Ave Ste 2e, Elmira, NY 14901-3219 | 2020-05-01 |
| 1669934204 | Lauren Michelle Yee | Student in an Organized Health Care Education/Training Program | 555 St Joseph's Blvd, 1st Floor, Elmira, NY 14901-3223 | 2019-04-02 |
| 1497252977 | Jennifer Ruch | Student in an Organized Health Care Education/Training Program | 329 Noble St, Elmira, NY 14901-1326 | 2018-04-10 |
| 1558896886 | Daniel Louie | Student in an Organized Health Care Education/Training Program | 571 Saint Josephs Blvd Ste 3, Elmira, NY 14901-3230 | 2017-04-24 |
| 1023541877 | Bonnie Theresa Acosta | Student in an Organized Health Care Education/Training Program | 806 Bennett St, Elmira, NY 14904-2014 | 2017-04-09 |
| 1871026229 | Jennifer Huber | Student in an Organized Health Care Education/Training Program | 600 Ivy St Ste 206, Elmira, NY 14905-1627 | 2017-04-04 |
| 1871025551 | Wesley Livingston | Student in an Organized Health Care Education/Training Program | 711 W Water St, Elmira, NY 14905-2442 | 2017-03-31 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1700232709 | Michael Kochik | Student in an Organized Health Care Education/Training Program | 407 Laurentian Pl Apt C, Elmira, NY 14904-2819 | 2016-05-09 |
| Find all providers in ELMIRA | ||||
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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.