1992144505 NPI number — NEWBORN HOLISTIC MINISTRIES, INC.

Table of content: MISS DARYA FELDMAN MS, ATC (NPI 1205863818)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992144505 NPI number — NEWBORN HOLISTIC MINISTRIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEWBORN HOLISTIC MINISTRIES, 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:
6
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:
1992144505
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1947 PENNSYLVANIA AVE
Provider Second Line Business Mailing Address:
P.O. BOX 12764
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21217-5764
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-728-8402
Provider Business Mailing Address Fax Number:
410-728-8424

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1928 PENNSYLVANIA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21217-3232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-728-8402
Provider Business Practice Location Address Fax Number:
410-728-8424
Provider Enumeration Date:
06/17/2013

Additional Information

Authorized Official

Authorized Official Last Name:
MARCUS
Authorized Official First Name:
TODD
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-728-2227

Provider Taxonomy Codes

  • Taxonomy code: 324500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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