Provider Demographics
NPI:1922712223
Name:ZEN HAUZ LLC
Entity Type:Organization
Organization Name:ZEN HAUZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:SZUFLADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-275-3135
Mailing Address - Street 1:180 MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-5328
Mailing Address - Country:US
Mailing Address - Phone:516-524-2402
Mailing Address - Fax:
Practice Address - Street 1:180 MICHAEL DR
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-5328
Practice Address - Country:US
Practice Address - Phone:516-524-2402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty