Lifespire, Inc. | |
159 E 125th St New York NY 10035-1748 | |
(212) 828-8506 | |
(212) 876-8942 |
Full Name | Lifespire, Inc. |
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Speciality | Clinic/Center |
Location | 159 E 125th St, New York, New York |
Authorized Official Name and Position | Keith Lee (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2127410100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifespire, Inc. One Whitehall Street, 9th Floor New York NY 10004-2141 Ph: (212) 741-0100 | Lifespire, Inc. 159 E 125th St New York NY 10035-1748 Ph: (212) 828-8506 |
NPI Number | 1497709166 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 07/11/2012 |
Medicare PECOS PAC ID | 5496644015 |
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Medicare Enrollment ID | O20040312000104 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497709166 | NPI | - | NPPES |
01500150 | Medicaid | NY | |
00347755 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (New York) | Primary |
Provider Name | Robert M Joseph |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770648172 PECOS PAC ID: 7517858392 Enrollment ID: I20040322001333 |
Provider Name | Janet Pomerantz |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1922181510 PECOS PAC ID: 2466443544 Enrollment ID: I20040518001590 |
Provider Name | Lyubov Y Gorelik |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528071545 PECOS PAC ID: 2062496581 Enrollment ID: I20040614001147 |
Provider Name | Micah Duchan |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174667349 PECOS PAC ID: 5991784480 Enrollment ID: I20040719000084 |
Provider Name | Alan M Fisher |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629128848 PECOS PAC ID: 2769456417 Enrollment ID: I20040819001401 |
Provider Name | Manoj V Thomas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871626325 PECOS PAC ID: 1456382274 Enrollment ID: I20050822001022 |
Provider Name | Amy Muskin Galan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710042288 PECOS PAC ID: 5799791240 Enrollment ID: I20060221000887 |
Provider Name | Lyonel De Sagun |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275576787 PECOS PAC ID: 7214949643 Enrollment ID: I20060628000333 |
Provider Name | Carol Wynter Jones |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396892741 PECOS PAC ID: 6608959564 Enrollment ID: I20080215000133 |
Provider Name | Lee E Stryker |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811100670 PECOS PAC ID: 2860579844 Enrollment ID: I20080402000249 |
Provider Name | Aderemi I Adeyemi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386818128 PECOS PAC ID: 1658444153 Enrollment ID: I20080716000552 |
Provider Name | Paul A Digiovanni |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013054048 PECOS PAC ID: 2466515119 Enrollment ID: I20090107000358 |
Provider Name | Claudette E Coke |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477742559 PECOS PAC ID: 5496811127 Enrollment ID: I20090305000018 |
Provider Name | Michael Lu |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245393669 PECOS PAC ID: 4789741828 Enrollment ID: I20090317000608 |
Provider Name | Ellen Lensky |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1942329081 PECOS PAC ID: 2163577651 Enrollment ID: I20090904000502 |
Provider Name | Jacqueline A Oloughlin |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1134272883 PECOS PAC ID: 1557407699 Enrollment ID: I20091005000158 |
Provider Name | Visalakshi Elangovan |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1144367012 PECOS PAC ID: 1355487240 Enrollment ID: I20091007000113 |
Provider Name | Nishant M Bagul |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1841324993 PECOS PAC ID: 0143366823 Enrollment ID: I20091009000583 |
Provider Name | Rajendraswamy Heggawadi |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1811023195 PECOS PAC ID: 8820135833 Enrollment ID: I20091023000494 |
Provider Name | Nitun Kumar |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1720125354 PECOS PAC ID: 3173662459 Enrollment ID: I20091125000539 |
Provider Name | Anna Naboyshchikova |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1831366756 PECOS PAC ID: 4082740766 Enrollment ID: I20100405000549 |
Provider Name | Gail M Riedell |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1235295767 PECOS PAC ID: 0941339329 Enrollment ID: I20100524000180 |
Provider Name | Stephen P Daurio |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1942409404 PECOS PAC ID: 1557553831 Enrollment ID: I20101005000553 |
Provider Name | Erin L Drinkwater |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619197308 PECOS PAC ID: 2961695697 Enrollment ID: I20101026000560 |
Provider Name | Shaunna Eneya Hamilton |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760782338 PECOS PAC ID: 3971787458 Enrollment ID: I20110407000151 |
Provider Name | Rebecca L Walsh |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1598074023 PECOS PAC ID: 8729246434 Enrollment ID: I20120228000093 |
Provider Name | Vinoth K Chandra Mohan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285921726 PECOS PAC ID: 5991969776 Enrollment ID: I20120606000552 |
Provider Name | Ashly Mammen |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1720131394 PECOS PAC ID: 6800042623 Enrollment ID: I20120810000397 |
Provider Name | Deborah J Marsh |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1649329202 PECOS PAC ID: 4880839406 Enrollment ID: I20130401000347 |
Provider Name | Darlene Mcrae |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1841438710 PECOS PAC ID: 3072758655 Enrollment ID: I20130402000471 |
Provider Name | George Mwangi |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114951464 PECOS PAC ID: 8527208768 Enrollment ID: I20130711000025 |
Provider Name | Rajeev Puttaswamy |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1306900626 PECOS PAC ID: 3971746512 Enrollment ID: I20130829000000 |
Provider Name | Jeanette T Buss |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558690750 PECOS PAC ID: 9931334349 Enrollment ID: I20131021000076 |
Provider Name | Maria F Brun |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932320777 PECOS PAC ID: 5395971246 Enrollment ID: I20131122001769 |
Provider Name | Ellaine A Thomas |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962540047 PECOS PAC ID: 4688801152 Enrollment ID: I20131209001689 |
Provider Name | Kristal M Pierre |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174899892 PECOS PAC ID: 9032341185 Enrollment ID: I20140404000008 |
Provider Name | Gillian Terrone |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659680270 PECOS PAC ID: 0244453827 Enrollment ID: I20140623001823 |
Provider Name | Violetta Carpini |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578710885 PECOS PAC ID: 2961622154 Enrollment ID: I20141010001345 |
Provider Name | Yudelis Quinlan |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942452438 PECOS PAC ID: 5698997500 Enrollment ID: I20141110000850 |
Provider Name | Donna Sandroff |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114074796 PECOS PAC ID: 5698997344 Enrollment ID: I20141112001725 |
Provider Name | Banu Rajagopal |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1851448500 PECOS PAC ID: 3971828633 Enrollment ID: I20150221000164 |
Provider Name | Sheika Hecker |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659678845 PECOS PAC ID: 7719299791 Enrollment ID: I20150706000181 |
Provider Name | Marianne Terrado |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407181340 PECOS PAC ID: 1658685771 Enrollment ID: I20150804003250 |
Provider Name | Lisa Taylor |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104007194 PECOS PAC ID: 1658685581 Enrollment ID: I20150805007572 |
Provider Name | Jeffrey H Smaller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821290016 PECOS PAC ID: 2961718739 Enrollment ID: I20150825004611 |
Provider Name | Sabashnee Govender |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326177361 PECOS PAC ID: 9739495086 Enrollment ID: I20150901001153 |
Provider Name | Cristina M Sanchez |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1871841122 PECOS PAC ID: 4688981616 Enrollment ID: I20150923001677 |
Provider Name | Rose E Nowack |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871867838 PECOS PAC ID: 2062720675 Enrollment ID: I20151001000972 |
Provider Name | Lisa M. Doce |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053576942 PECOS PAC ID: 9133438690 Enrollment ID: I20151023000114 |
Provider Name | Tracey J Williamson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831304641 PECOS PAC ID: 0143529487 Enrollment ID: I20160509000768 |
Provider Name | Alena Hrybava |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1518357904 PECOS PAC ID: 7214228436 Enrollment ID: I20160620000507 |
Provider Name | Leslie Wagner |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1720293723 PECOS PAC ID: 7012290463 Enrollment ID: I20170208001888 |
Provider Name | Mary S Mcdonagh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194267690 PECOS PAC ID: 9032484456 Enrollment ID: I20171010002649 |
Provider Name | Juan R Ceron |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093087587 PECOS PAC ID: 5193085645 Enrollment ID: I20180201002367 |
Provider Name | Jennifer Ann Lee |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1740668862 PECOS PAC ID: 9436407624 Enrollment ID: I20180803001792 |
Provider Name | Sahar Marlowe |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1568903144 PECOS PAC ID: 9234568015 Enrollment ID: I20200330001979 |
Provider Name | Darren L Bennett |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1831308493 PECOS PAC ID: 4385073998 Enrollment ID: I20200402002064 |
Provider Name | Dawn Prawl |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588922744 PECOS PAC ID: 3779974589 Enrollment ID: I20220104002503 |
Provider Name | Travis Barry |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871253179 PECOS PAC ID: 9133513096 Enrollment ID: I20220221001049 |
Provider Name | Sara M Mckeon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700399318 PECOS PAC ID: 2163819210 Enrollment ID: I20220420001839 |
Provider Name | Eric A Gerdner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285120832 PECOS PAC ID: 5193101772 Enrollment ID: I20221005001423 |
Provider Name | Akintayo Fadoju |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184900300 PECOS PAC ID: 5890161848 Enrollment ID: I20221017002924 |
Provider Name | James Antoine |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639484819 PECOS PAC ID: 9133590086 Enrollment ID: I20230201000556 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |