Ms. Ebony S Prescott
Specialist (Prosthetics Case Management)

Address: 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027
Phone: 3476002298

Ms. Ebony S Prescott (NPI# 1003383456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1003383456
Entity Type Individual
Full Name Ms. Ebony S Prescott
Credential PRACTITIONER
Gender Female
Practice Address 2130 Adam Clayton Powell Blvd
Phenix Salon Suites, Suite #114
Ny
NY 10027
Practice Telephone 3476002298
Mailing Address 1500 Boone Ave Apt 1h
Bronx
NY 10460-6059
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2018-10-24
Last Update Date 2019-11-15

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1744P3200X Specialist · Prosthetics Case Management Other Service Providers AEC-17-05264 NY

Secondary Practice Locations

Address Telephone Number Fax Number
256 E 135th St Fl 2, Bronx, NY 104544300 3476002298

Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

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Office Location

Street Address 2130 ADAM CLAYTON POWELL BLVD
PHENIX SALON SUITES, SUITE #114
City NY
State NY
Zip Code 10027

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Competitor

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City NY
Zip Code 10027

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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.