Provider Demographics
NPI:1093164998
Name:DNA LLC
Entity Type:Organization
Organization Name:DNA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ARGENTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:05-23-1958
Authorized Official - Phone:908-930-4485
Mailing Address - Street 1:60 GRANDVEW AVENUE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-2767
Mailing Address - Country:US
Mailing Address - Phone:908-930-4485
Mailing Address - Fax:732-661-0557
Practice Address - Street 1:311 RAHWAY AVENUE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-1806
Practice Address - Country:US
Practice Address - Phone:908-930-4485
Practice Address - Fax:732-661-0557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health