Provider Demographics
NPI:1942430145
Name:ADVANTAGE PT HEALTH CONSULTING PC
Entity Type:Organization
Organization Name:ADVANTAGE PT HEALTH CONSULTING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:OPPENHEIMER-MARTORELLA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-374-5310
Mailing Address - Street 1:960 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1644
Mailing Address - Country:US
Mailing Address - Phone:516-374-5310
Mailing Address - Fax:516-374-4450
Practice Address - Street 1:960 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1644
Practice Address - Country:US
Practice Address - Phone:516-374-5310
Practice Address - Fax:516-374-4450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007532-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty