Provider Demographics
NPI:1295431286
Name:IRON HEALTH STAMFORD PLLC
Entity type:Organization
Organization Name:IRON HEALTH STAMFORD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-564-3172
Mailing Address - Street 1:78 SOUTHFIELD AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-7649
Mailing Address - Country:US
Mailing Address - Phone:914-488-7683
Mailing Address - Fax:
Practice Address - Street 1:78 SOUTHFIELD AVE STE 201
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-7649
Practice Address - Country:US
Practice Address - Phone:914-488-5763
Practice Address - Fax:914-455-0217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty