Provider Demographics
NPI:1467272021
Name:HEALTHY LIFESTYLE CARE NP IN FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:HEALTHY LIFESTYLE CARE NP IN FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANED
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPIELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-338-6800
Mailing Address - Street 1:24 S DEVOE AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-4728
Mailing Address - Country:US
Mailing Address - Phone:914-338-6800
Mailing Address - Fax:
Practice Address - Street 1:24 S DEVOE AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-4728
Practice Address - Country:US
Practice Address - Phone:914-338-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care