Provider Demographics
NPI:1285216036
Name:MYOAIR INC
Entity Type:Organization
Organization Name:MYOAIR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMOROSO
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:516-308-1623
Mailing Address - Street 1:915A CARMANS RD.
Mailing Address - Street 2:STE 204
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-3504
Mailing Address - Country:US
Mailing Address - Phone:516-308-1623
Mailing Address - Fax:
Practice Address - Street 1:915A CARMANS RD.
Practice Address - Street 2:STE 204
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-3504
Practice Address - Country:US
Practice Address - Phone:516-308-1623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty