Provider Demographics
NPI:1396320644
Name:PLY ENTERPRISE LLC
Entity type:Organization
Organization Name:PLY ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:YEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:781-775-6928
Mailing Address - Street 1:24 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BROOKFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01535-1418
Mailing Address - Country:US
Mailing Address - Phone:781-775-6928
Mailing Address - Fax:774-449-8074
Practice Address - Street 1:24 SUMMER ST
Practice Address - Street 2:
Practice Address - City:NORTH BROOKFIELD
Practice Address - State:MA
Practice Address - Zip Code:01535-1418
Practice Address - Country:US
Practice Address - Phone:781-775-6928
Practice Address - Fax:774-449-8074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty