Ny Medhealthspa Consulting LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NY MEDHEALTHSPA CONSULTING LLC

Practice address

4008 67TH St
Woodside, NY 11377-3777

Phone

(845) 345-7000

NPI assigned

Dec 28, 2021

Organization subpart

No

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

Authorized official

Name

Sue Reynoso

Title

Owner

Phone

(347) 225-3151

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1548920804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 67TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773777",
            "telephone_number": "845-345-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 67TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773777",
            "telephone_number": "845-345-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY MEDHEALTHSPA CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "REYNOSO",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-225-3151"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Woodside, NY
• Providers in Woodside, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.