Provider Demographics
NPI:1336641745
Name:HEALING QUEST WELLNESS CENTER
Entity Type:Organization
Organization Name:HEALING QUEST WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:EVE
Authorized Official - Last Name:VAYNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:718-982-6496
Mailing Address - Street 1:1887 RICHMOND AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3923
Mailing Address - Country:US
Mailing Address - Phone:718-982-6496
Mailing Address - Fax:718-982-6751
Practice Address - Street 1:512 WARREN AVE
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07762-1233
Practice Address - Country:US
Practice Address - Phone:718-982-6496
Practice Address - Fax:718-982-6751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy