Mishelle Konovalova

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003814 Issued in NY

Practice address

2543 Hubbard St FL 2
Brooklyn, NY 11235-6222

Phone

(718) 404-5497

NPI assigned

Nov 5, 2019

Last updated

Nov 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Svetlana Konovalova Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1750925418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 HUBBARD ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356222",
            "telephone_number": "718-404-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 HUBBARD ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356222",
            "telephone_number": "718-404-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOVALOVA",
        "first_name": "MISHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SVETLANA",
            "last_name": "KONOVALOVA",
            "credential": "LIC. ACUPUNCTURIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nina Kononchuk, CSW
• Maria Konopka
• Anatoliy Konovalov, D.M.D
• Nicholas Konovalov, PT, DPT
• Alla Konovalova, MS PT
• Natalia Konovalova
• Yekaterina Konovalova, M.S. CCC-SLP
• Jaime Renee Konrad, C.R.N.A.
• Steven Shane Konrad, M.D.
• Megan Amanda Konrade

• Acupuncturist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.