| NPI | 1942819834 |
|---|---|
| Doing Business As | INTEGRATIVE MIND BODY DENTAL TELEHEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | MARYAM EDALAT Owner 212-371-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 122300000X Dentist | |
| 133N00000X Nutritionist | |
| 208D00000X General Practice | |
| 374U00000X Home Health Aide | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |