Provider Demographics
NPI:1407523970
Name:MERAKI PAINHUB SOLUTION INC
Entity Type:Organization
Organization Name:MERAKI PAINHUB SOLUTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYBINA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:201-637-1045
Mailing Address - Street 1:200 WINSTON DR APT 2520
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-3229
Mailing Address - Country:US
Mailing Address - Phone:201-637-1045
Mailing Address - Fax:
Practice Address - Street 1:661 E PALISADE AVE STE B1
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-1846
Practice Address - Country:US
Practice Address - Phone:201-637-1045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty