Provider Demographics
NPI:1629671169
Name:TWELVE 13 PRODUCTIONS, LLC
Entity Type:Organization
Organization Name:TWELVE 13 PRODUCTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CAGLIONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-494-2998
Mailing Address - Street 1:18 MARGARITA DR
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-3539
Mailing Address - Country:US
Mailing Address - Phone:845-494-5631
Mailing Address - Fax:
Practice Address - Street 1:18 MARGARITA DR
Practice Address - Street 2:
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-3539
Practice Address - Country:US
Practice Address - Phone:845-494-5631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty