Provider Demographics
NPI:1285101493
Name:L HAALOS INC
Entity type:Organization
Organization Name:L HAALOS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:BREINDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REINHOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-438-4620
Mailing Address - Street 1:1317 52ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3803
Mailing Address - Country:US
Mailing Address - Phone:718-928-9564
Mailing Address - Fax:866-929-1609
Practice Address - Street 1:1317 52ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3803
Practice Address - Country:US
Practice Address - Phone:718-928-9564
Practice Address - Fax:866-929-1609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty