Provider Demographics
NPI:1225436645
Name:HOT YOGA MASSAPEQUA INC.
Entity Type:Organization
Organization Name:HOT YOGA MASSAPEQUA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HANRATTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-798-7980
Mailing Address - Street 1:5078A SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11762-2926
Mailing Address - Country:US
Mailing Address - Phone:516-798-7980
Mailing Address - Fax:
Practice Address - Street 1:5078A SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA PARK
Practice Address - State:NY
Practice Address - Zip Code:11762-2926
Practice Address - Country:US
Practice Address - Phone:516-798-7980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-17
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health