Provider Demographics
NPI:1578824744
Name:RECONDITE ASSISTANCE CORP.
Entity Type:Organization
Organization Name:RECONDITE ASSISTANCE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ILYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIBLITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-584-1409
Mailing Address - Street 1:1901 AVENUE P
Mailing Address - Street 2:SUITE #1A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1342
Mailing Address - Country:US
Mailing Address - Phone:917-584-1409
Mailing Address - Fax:
Practice Address - Street 1:1901 AVENUE P
Practice Address - Street 2:SUITE #1A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1342
Practice Address - Country:US
Practice Address - Phone:917-584-1409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Single Specialty