Provider Demographics
NPI:1205675949
Name:INNER CALM CORP
Entity type:Organization
Organization Name:INNER CALM CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLAIMANZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-513-1256
Mailing Address - Street 1:501 S BROADWAY STE 102
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-5067
Mailing Address - Country:US
Mailing Address - Phone:516-513-1256
Mailing Address - Fax:877-624-7556
Practice Address - Street 1:501 S BROADWAY STE 102
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-5067
Practice Address - Country:US
Practice Address - Phone:516-513-1256
Practice Address - Fax:877-624-7556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty