Provider Demographics
NPI:1093303687
Name:CONSTRUCT WELLNESS LLC
Entity Type:Organization
Organization Name:CONSTRUCT WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:APRILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-561-4222
Mailing Address - Street 1:646 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-2929
Mailing Address - Country:US
Mailing Address - Phone:216-561-4222
Mailing Address - Fax:212-561-4244
Practice Address - Street 1:646 10TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-2929
Practice Address - Country:US
Practice Address - Phone:216-561-4222
Practice Address - Fax:212-561-4244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty