Provider Demographics
NPI:1538704952
Name:THERAMED SERVICES LLC
Entity Type:Organization
Organization Name:THERAMED SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-279-9800
Mailing Address - Street 1:4106 BELL BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2857
Mailing Address - Country:US
Mailing Address - Phone:718-279-9800
Mailing Address - Fax:718-279-9500
Practice Address - Street 1:4106 BELL BLVD FL 2
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2857
Practice Address - Country:US
Practice Address - Phone:718-279-9800
Practice Address - Fax:718-279-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty