Provider Demographics
NPI:1235793720
Name:CARDIOYOGA LLC
Entity Type:Organization
Organization Name:CARDIOYOGA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBAN
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:908-358-2586
Mailing Address - Street 1:14 CURTIS AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2306
Mailing Address - Country:US
Mailing Address - Phone:908-358-2586
Mailing Address - Fax:
Practice Address - Street 1:521 S LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4327
Practice Address - Country:US
Practice Address - Phone:908-358-2586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty