Provider Demographics
NPI:1073348389
Name:IFDW HEALTH SERVICES INC.
Entity type:Organization
Organization Name:IFDW HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANSGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLTMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-859-5454
Mailing Address - Street 1:1301 AVENUE OF THE AMERICAS
Mailing Address - Street 2:21ST FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:646-859-5454
Mailing Address - Fax:
Practice Address - Street 1:1301 AVENUE OF THE AMERICAS
Practice Address - Street 2:21ST FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:646-859-5454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty