Provider Demographics
NPI:1457167454
Name:UNITED HANDS ORGANIZATION, INC.
Entity type:Organization
Organization Name:UNITED HANDS ORGANIZATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VADIM
Authorized Official - Middle Name:
Authorized Official - Last Name:AGAFONOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-463-9138
Mailing Address - Street 1:2825 W 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-2786
Mailing Address - Country:US
Mailing Address - Phone:917-463-9138
Mailing Address - Fax:347-713-4022
Practice Address - Street 1:2825 W 16TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2786
Practice Address - Country:US
Practice Address - Phone:917-463-9138
Practice Address - Fax:347-713-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Multi-Specialty