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MR. MAURICE BOTERO LICENSE MASSAGE THER
NPI 1457549503
Specialist in Elmhurst, NY

Active since October 12, 2007
4012 80TH ST, ELMHURST, NY 11373(718) 426-9595 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Maurice Botero License Massage Ther NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MAURICE BOTERO LICENSE MASSAGE THER (NPI 1457549503) is an individual specialist in Elmhurst, New York, licensed in New York (0208591) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1457549503
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. MAURICE BOTEROCredential: LICENSE MASSAGE THER
Location Address4012 80TH STElmhurst, NY 11373-1234
Mailing Address3433 90th StJackson Heights, NY 11372-3667 · (718) 457-1987
Phone(718) 426-9595
Sole ProprietorYes
Enumeration DateOctober 12, 2007
✔ NPI 1457549503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 0208591
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4012 80TH ST, Elmhurst, NY 11373
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SIMON BIDERMAN PHYSICAL THERAPIST
Physical Therapist
4012 80TH ST
ELMHURST, NY 11373
Queens County (718) 426-9595
EMMANUEL AGNANT PA
Physician Assistant
4012 80TH ST
ELMHURST, NY 11373
Queens County (718) 886-9000
DR. ROMILLA ANWAR M.D.
Specialist
4012 80TH ST
ELMHURST, NY 11373
Queens County (718) 426-9595
MARIE CLAIRE LEGER MD
Dermatology
4012 80TH ST
ELMHURST, NY 11373
Queens County (718) 886-9000
SAMANTHA HUSSAIN PA
Physician Assistant (Medical)
4012 80TH ST
ELMHURST, NY 11373
Queens County (718) 886-9000
STACY W LI R-PAC
Physician Assistant
4012 80TH ST
ELMHURST, NY 11373
Queens County (718) 886-9000
CINDY HUANG PA-C
Physician Assistant
4012 80TH ST
ELMHURST, NY 11373
Queens County (718) 886-9000
DR. CHARLES C KWAK MD
Dermatology
4012 80TH ST
ELMHURST, NY 11373
Queens County (718) 886-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maurice Botero's NPI number?

The NPI number for Maurice Botero is 1457549503. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Maurice Botero located?

Maurice Botero practices at 4012 80th St, Elmhurst, NY 11373. The listed phone number is (718) 426-9595.

What is Maurice Botero's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Maurice Botero was last updated on October 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.