Provider Demographics
NPI:1417295692
Name:WELLNESS BEAUTYFARM INC
Entity Type:Organization
Organization Name:WELLNESS BEAUTYFARM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HEA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-714-1004
Mailing Address - Street 1:38 W 32ND ST STE 1001
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3880
Mailing Address - Country:US
Mailing Address - Phone:212-714-1004
Mailing Address - Fax:212-714-1009
Practice Address - Street 1:38 W 32ND ST STE 1001
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3880
Practice Address - Country:US
Practice Address - Phone:212-714-1004
Practice Address - Fax:212-714-1009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-23
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004685171100000X
NY032405225100000X
NY031415225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty