Provider Demographics
NPI:1811643604
Name:STRONG THERAPEUTICS LLC
Entity type:Organization
Organization Name:STRONG THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:MICHALOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-520-5565
Mailing Address - Street 1:467 PARK SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91377-3816
Mailing Address - Country:US
Mailing Address - Phone:917-520-5565
Mailing Address - Fax:
Practice Address - Street 1:467 PARK SPRINGS CT
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:CA
Practice Address - Zip Code:91377-3816
Practice Address - Country:US
Practice Address - Phone:917-520-5565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health