Provider Demographics
NPI:1326342361
Name:HEALTH FITNESS CONCEPTS RN, LLC
Entity Type:Organization
Organization Name:HEALTH FITNESS CONCEPTS RN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:914-684-6064
Mailing Address - Street 1:45 KNOLLWOOD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-2815
Mailing Address - Country:US
Mailing Address - Phone:914-684-6064
Mailing Address - Fax:914-684-6071
Practice Address - Street 1:45 KNOLLWOOD RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523-2815
Practice Address - Country:US
Practice Address - Phone:914-684-6064
Practice Address - Fax:914-684-6071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318738251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare