Provider Demographics
NPI:1033751656
Name:NOLIMITS NYC CORP
Entity Type:Organization
Organization Name:NOLIMITS NYC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGENSHTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-674-7367
Mailing Address - Street 1:2753 CONEY ISLAND AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5015
Mailing Address - Country:US
Mailing Address - Phone:718-616-8690
Mailing Address - Fax:
Practice Address - Street 1:2753 CONEY ISLAND AVE FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5015
Practice Address - Country:US
Practice Address - Phone:718-616-8690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05500798Medicaid