EUSTACE EDMEAD (NPI# 1972963973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972963973 |
| Entity Type | Individual |
| Full Name | EUSTACE EDMEAD |
| Practice Address |
97-20 Van Wyck Expwy Apt D5 South Richmond Hill NY 11419 |
| Mailing Address |
9720 Van Wyck Expy Apt D5 South Richmond Hill NY 11419-2370 |
| Practice Telephone | 7187394184 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
97-20 VAN WYCK EXPWY APT D5 |
| City | SOUTH RICHMOND HILL |
| State | NY |
| Zip Code | 11419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218081 | Ny Metro Dental, PC | Dentist | 119-01 Liberty Avenue, Richmond Hill, NY 11419 | 2020-02-25 |
| 1811558646 | Sarah Lindsay Davison | Speech-Language Pathologist | Cuomo First Step Preschool, 115-15 101st Avenue, South Richmond Hill, NY 11419 | 2019-06-24 |
| 1629569983 | Village Star Drugs Inc | Pharmacy | 125-05 Liberty Avenue, S. Richmond Hill, NY 11419 | 2018-05-22 |
| 1023535994 | Sonali Sheth | Pharmacist | Sure Drugs Pharmacy, 118-06 101st Ave., South Richmond, NY 11419 | 2017-08-23 |
| 1518408491 | Therapy Care Pta P.C. | Clinic/Center | 10130 116th St, South Richmond Hill, NY 11419 | 2017-03-13 |
| 1285173526 | Theresa Home Care Agency Inc | Home Health | 110-08 Liberty Ave, Richmond, NY 11419 | 2017-02-20 |
| 1750820163 | Aisha Khizar | Contractor | 13214 101st Ave, South Richmond Hill, NY 11419 | 2017-02-17 |
| 1417492778 | Bhanmatie Balkaran | Licensed Practical Nurse | 105-16 135th Street, South Richmond Hill, NY 11419 | 2016-12-22 |
| 1225571011 | Nzinga Gillis | Behavioral Analyst | 104-29 129th Street, South Richmond Hill, NY 11419 | 2016-11-28 |
| 1740738236 | Arun Thaker | Clinic/Center | 130-05 101 Street, 1, Jamaica, NY 11419 | 2016-09-14 |
| Find all providers in zip 11419 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385896 | Gary N/a Peluso | Peer Specialist | 62 Allan Dr, East Norwich, NY 11732-1203 | 2020-10-28 |
| 1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1801409842 | Alexander Mannino | Peer Specialist | 419 Palisade Ave, Yonkers, NY 10703-2610 | 2020-08-28 |
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1700404001 | Kathy Annett Gardini | Peer Specialist | 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 | 2020-07-13 |
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1174140545 | Mercedes Busby | Peer Specialist | 118 Brauncroft Ln, Amherst, NY 14226-4957 | 2020-07-01 |
| 1457977258 | Carla J Alomar | Peer Specialist | 414 Martin Rd, Lackawanna, NY 14218-2830 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH RICHMOND HILL |
| Zip Code | 11419 |
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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.