Provider Demographics
NPI:1497407654
Name:LUNA HEALING SOLUTION INC
Entity type:Organization
Organization Name:LUNA HEALING SOLUTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLADA
Authorized Official - Middle Name:
Authorized Official - Last Name:TINATTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-419-7940
Mailing Address - Street 1:99 PERCY WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-2219
Mailing Address - Country:US
Mailing Address - Phone:516-419-7940
Mailing Address - Fax:
Practice Address - Street 1:363 ROUTE 111 STE 99
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-4782
Practice Address - Country:US
Practice Address - Phone:516-419-7940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty