Provider Demographics
NPI:1588634661
Name:UNDERNEATH IT ALL TOO INC
Entity type:Organization
Organization Name:UNDERNEATH IT ALL TOO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ART
Authorized Official - Last Name:KEANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-779-2517
Mailing Address - Street 1:160 E 34TH ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-779-2517
Mailing Address - Fax:212-779-2518
Practice Address - Street 1:160 E 34TH ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-779-2517
Practice Address - Fax:212-779-2518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
7817616OtherAETNA PPO
3748752OtherAETNA HMO
NY02648171Medicaid
3748752OtherAETNA HMO