1457079733 NPI number — AMBROZIO'S INSTITUTE INTERNATIONAL FITNESS AND WELLNESS LLC

Table of content: (NPI 1457079733)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457079733 NPI number — AMBROZIO'S INSTITUTE INTERNATIONAL FITNESS AND WELLNESS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMBROZIO'S INSTITUTE INTERNATIONAL FITNESS AND WELLNESS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457079733
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 SPEAR ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PISCATAWAY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08854-2330
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-274-7806
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVENIDA DAS NACOES UNIDAS 12495
Provider Second Line Business Practice Location Address:
15 ANDAR
Provider Business Practice Location Address City Name:
SAO PAULO
Provider Business Practice Location Address State Name:
SAO PAULO
Provider Business Practice Location Address Postal Code:
04533--085
Provider Business Practice Location Address Country Code:
BR
Provider Business Practice Location Address Telephone Number:
551-128-4416
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2022

Additional Information

Authorized Official

Authorized Official Last Name:
DA SILVA MUNIZ AMBROZIO
Authorized Official First Name:
IZABELLI CRISTINNI
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
908-274-7806

Provider Taxonomy Codes

  • Taxonomy code: 2255A2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com