Provider Demographics
NPI:1245603562
Name:ALLBODY HEALING SUPPLIES, LLC
Entity Type:Organization
Organization Name:ALLBODY HEALING SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TSATSANACHVILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-791-2111
Mailing Address - Street 1:445 CENTRAL AVE
Mailing Address - Street 2:SUITE 356
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-2001
Mailing Address - Country:US
Mailing Address - Phone:516-791-2111
Mailing Address - Fax:
Practice Address - Street 1:445 CENTRAL AVE
Practice Address - Street 2:SUITE 356
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-2001
Practice Address - Country:US
Practice Address - Phone:516-791-2111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies