Provider Demographics
NPI:1952011215
Name:CATYA BODY SCULPTING LLC
Entity Type:Organization
Organization Name:CATYA BODY SCULPTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEACHER / ACUPUNCTURIST /ESTHETICS
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:ZUNNY
Authorized Official - Last Name:ARCHAGA
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:516-939-1650
Mailing Address - Street 1:103 BROADWAY MALL
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-2708
Mailing Address - Country:US
Mailing Address - Phone:516-939-1650
Mailing Address - Fax:
Practice Address - Street 1:103 BROADWAY MALL
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-2708
Practice Address - Country:US
Practice Address - Phone:631-413-2583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service