Provider Demographics
NPI:1821528688
Name:HOLISTIC MEDICINE SERVICES OF LONG ISLAND INC
Entity Type:Organization
Organization Name:HOLISTIC MEDICINE SERVICES OF LONG ISLAND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZANNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-398-4375
Mailing Address - Street 1:367 SPLIT ROCK RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-1516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:367 SPLIT ROCK RD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-1516
Practice Address - Country:US
Practice Address - Phone:516-398-4375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty