Provider Demographics
NPI:1366827909
Name:AMERICA SOCIETY OF THERMALISM AND CLIMATOLOGY
Entity Type:Organization
Organization Name:AMERICA SOCIETY OF THERMALISM AND CLIMATOLOGY
Other - Org Name:GAVIOTA CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SILEGA
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:973-842-6230
Mailing Address - Street 1:180 S ORANGE AVE APT 1405
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2766
Mailing Address - Country:US
Mailing Address - Phone:973-842-6230
Mailing Address - Fax:
Practice Address - Street 1:180 S ORANGE AVE APT 1405
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2766
Practice Address - Country:US
Practice Address - Phone:973-842-6230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY699753261QR1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch