Provider Demographics
NPI:1295019719
Name:THERAPEUTIC MOBILIZATION DEVICES LLC
Entity Type:Organization
Organization Name:THERAPEUTIC MOBILIZATION DEVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ISRAEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-588-0993
Mailing Address - Street 1:12 BOND ST
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2005
Mailing Address - Country:US
Mailing Address - Phone:212-588-0993
Mailing Address - Fax:516-466-4296
Practice Address - Street 1:12 BOND ST
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2005
Practice Address - Country:US
Practice Address - Phone:212-588-0993
Practice Address - Fax:516-466-4296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies