1750355111 NPI number — HANDS AT WORK INC

Table of content: MARY E WEIERMAN MHP (NPI 1750441366)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750355111 NPI number — HANDS AT WORK INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANDS AT WORK INC
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:
1750355111
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
655 AMBOY AVE
Provider Second Line Business Mailing Address:
HANDS AT WORK INC
Provider Business Mailing Address City Name:
WOODBRIDGE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07045
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-636-6632
Provider Business Mailing Address Fax Number:
732-636-6637

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
27 NEW DORP LANE
Provider Second Line Business Practice Location Address:
HANDS AT WORK
Provider Business Practice Location Address City Name:
STATEN ISLAND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-841-8682
Provider Business Practice Location Address Fax Number:
718-667-3590
Provider Enumeration Date:
02/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SHARMA
Authorized Official First Name:
CHANDU
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
732-636-6632

Provider Taxonomy Codes

  • Taxonomy code: 225XH1200X , with the licence number:  006071-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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