Provider Demographics
NPI:1053651943
Name:AMAZING THERAGROUP INC.
Entity Type:Organization
Organization Name:AMAZING THERAGROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUR
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:646-244-1257
Mailing Address - Street 1:1435 DAHILL RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2647
Mailing Address - Country:US
Mailing Address - Phone:646-244-1257
Mailing Address - Fax:347-713-8650
Practice Address - Street 1:1435 DAHILL RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2647
Practice Address - Country:US
Practice Address - Phone:646-244-1257
Practice Address - Fax:347-713-8650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty