Provider Demographics
NPI:1942713342
Name:IQL, LLC
Entity Type:Organization
Organization Name:IQL, LLC
Other - Org Name:SAFE AND STRONG AT WORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF TRAINING
Authorized Official - Prefix:
Authorized Official - First Name:DROANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MADERA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, CFSC, CPT
Authorized Official - Phone:917-991-3398
Mailing Address - Street 1:3207 OXFORD AVE
Mailing Address - Street 2:APT 11
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463
Mailing Address - Country:US
Mailing Address - Phone:321-693-1418
Mailing Address - Fax:
Practice Address - Street 1:3207 OXFORD AVENUE
Practice Address - Street 2:APT 11
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463
Practice Address - Country:US
Practice Address - Phone:321-693-1418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty