Provider Demographics
NPI:1982971511
Name:USTH, INC
Entity Type:Organization
Organization Name:USTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAISIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARADIMOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:6463-440-5150
Mailing Address - Street 1:120 CO-OP CITY BLVD, #21-F
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475
Mailing Address - Country:US
Mailing Address - Phone:646-344-0515
Mailing Address - Fax:718-379-0335
Practice Address - Street 1:120 CO OP CITY BLVD APT 21F
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-3820
Practice Address - Country:US
Practice Address - Phone:646-344-0515
Practice Address - Fax:718-379-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY699421252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency