GRACE A TACKIE
Student in an Organized Health Care Education/Training Program

Address: 234 E 149th St Fl 4, Bronx, NY 10451-5504

GRACE A TACKIE (NPI# 1154904803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154904803
Entity Type Individual
Full Name GRACE A TACKIE
Gender Female
Credential MD
Practice Address 234 E 149th St Fl 4
Bronx
NY 10451-5504
Practice Telephone 7185795800
Mailing Address 234 E 149th St Fl 4
Bronx
NY 10451-5504
Mailing Telephone 7185795800
Certification Date 2021-04-30
Enumeration Date 2021-04-30
Last Update Date 2021-04-30
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 234 E 149TH ST FL 4
City BRONX
State NY
Zip Code 10451-5504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912428590 Denisse Leticia Staufert Student in an Organized Health Care Education/Training Program 234 E 149th St Fl 4, Bronx, NY 10451-5504 2017-07-04
1962923862 Paulo Antonio Borjas Mendoza Student in an Organized Health Care Education/Training Program 234 E 149th St Fl 4, Bronx, NY 10451-5504 2017-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285253948 Omaira Alfonsina Tejada Amaro Specialist 234 E 149th St Ste 4-20, Bronx, NY 10451-5504 2020-04-13
1093377210 Tahsin Salam Nodi Student in an Organized Health Care Education/Training Program 234 E 149th St Fl Street8, Bronx, NY 10451-5504 2019-07-08
1003435512 Alibay Jafarli Student in an Organized Health Care Education/Training Program 234 E 149th St Ste 8-20, Bronx, NY 10451-5504 2020-04-14
1467036335 Christian Elijah Rosado Student in an Organized Health Care Education/Training Program 234 E 149th St Rm 4458, Bronx, NY 10451-5504 2021-05-07
1376165928 Omeir Mallick Student in an Organized Health Care Education/Training Program 234 E 149th St # 2a8, Bronx, NY 10451-5504 2020-05-16
1093323974 Shish Ali Mohammad Student in an Organized Health Care Education/Training Program 234 E 149th St # 4-20, Bronx, NY 10451-5504 2020-07-16
1083243505 Jerky Ebai Student in an Organized Health Care Education/Training Program 234 E 149th St # 5c190191, Bronx, NY 10451-5504 2020-04-06
1316521313 Sadaf Sahraian Student in an Organized Health Care Education/Training Program 234 E 149th St Rm 420, Bronx, NY 10451-5504 2021-05-06
1154940898 Daniel Moskowitz Specialist 234 E 149th St Ste 9d-216, Bronx, NY 10451-5504 2020-04-13
1043849466 Eric Miguel Martinez Student in an Organized Health Care Education/Training Program 234 E 149th St Ste 5-337, Bronx, NY 10451-5504 2020-04-07
Find all in zip 10451-5504

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1285257642 Javier Alejandro Castro Valenzuela Student in an Organized Health Care Education/Training Program 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 2020-05-20
1972062370 Aneka Mathieson Community Health Worker 349 East 143rd Street, Bronx, NY 10451 2019-03-15
1619542172 Maria Angela Milaor Matabang 234 E 149th Street, Lincoln Medical Center, Department of Internal Medicine, Bronx, New York City, NY 10451 2021-05-26
1871116277 Sebastian Andres Gandarillas Fraga Student in an Organized Health Care Education/Training Program 234 E. 149 Street, Suite 820, New York, NY 10451 2020-05-20
1467065466 Armghan Azhar Azhar Munir Student in an Organized Health Care Education/Training Program Lincoln Medical Center, 234 E149th St, New York City, NY 10451 2020-08-28
1184264418 Natalia Xeomara Corporan Crespo Social Worker 234 E 149 Street, 7b - Adult Outpatient Psychiatry, Bronx, NY 10451 2020-01-15
1184221426 Milena Boursiquot Counselor - Mental Health 240 Walton Ste 2n, Bronx, NY 10451 2020-10-08
1184261802 Katrina Coronado Physical Therapist 675 Morris Avenue, Bronx, NY 10451 2019-12-01
1275097016 Jeanae B Jones Community Health Worker 529 Courtland Avenue, Bronx, NY 10451 2019-01-25
1134730377 Sherida Naing Edding Student in an Organized Health Care Education/Training Program 234 E 149th Street, Bronx, New York City, NY 10451 2020-08-12
Find all in zip 10451

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467036335 Christian Elijah Rosado Student in an Organized Health Care Education/Training Program 234 E 149th St Rm 4458, Bronx, NY 10451-5504 2021-05-07
1316521313 Sadaf Sahraian Student in an Organized Health Care Education/Training Program 234 E 149th St Rm 420, Bronx, NY 10451-5504 2021-05-06
1659954345 Suraj Krishnan Student in an Organized Health Care Education/Training Program Jacobi Medical Center, 1400 Pelham Parkway South, Bronx, NY 10461 2021-04-30
1285217133 Amrin Murtaza Kharawala Student in an Organized Health Care Education/Training Program 1400 Pelham Parkway South, Jacobi Medical Center, Bronx, NY 10461 2021-04-29
1124600168 Rajka Micic Student in an Organized Health Care Education/Training Program 234 E 149th St Dept Of, Bronx, NY 10451-5504 2021-04-28
1316520364 Justin Im Student in an Organized Health Care Education/Training Program Third Ave. and 183rd Street, Bronx, NY 10457 2021-04-28
1790367282 Mutahera Mazhar Student in an Organized Health Care Education/Training Program Bronx -Lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 2021-04-23
1578145413 Athanasios Papadas Student in an Organized Health Care Education/Training Program Jacobi Medical Center, 1400 Pelham Parkway South, Bronx, NY 10461 2021-04-21
1235718966 Fawaz R Abdulkarim Student in an Organized Health Care Education/Training Program 2707 Barnes Ave Apt 21s, Bronx, NY 10467-1995 2021-04-08
1275110215 Sara Ninoslav Veselinovic Student in an Organized Health Care Education/Training Program 660 Thwaites Pl Apt 1j, Bronx, NY 10467-7924 2021-03-25
Find all providers in BRONX

Competitor

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Dataset Information

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.