Provider Demographics
NPI:1447672605
Name:OMI SAUNA
Entity type:Organization
Organization Name:OMI SAUNA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MYO SWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-746-0513
Mailing Address - Street 1:1244 CLINTONVILLE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1849
Mailing Address - Country:US
Mailing Address - Phone:718-746-0513
Mailing Address - Fax:888-567-4989
Practice Address - Street 1:1244 CLINTONVILLE ST
Practice Address - Street 2:SUITE C
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-1849
Practice Address - Country:US
Practice Address - Phone:718-746-0513
Practice Address - Fax:888-567-4989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty