Provider Demographics
NPI:1588328355
Name:MOVE TOMORROW
Entity type:Organization
Organization Name:MOVE TOMORROW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERN
Authorized Official - Prefix:PROF
Authorized Official - First Name:PTAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHABAZZ-ST. CLAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, DO
Authorized Official - Phone:929-414-2960
Mailing Address - Street 1:369 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-3939
Mailing Address - Country:US
Mailing Address - Phone:347-779-1582
Mailing Address - Fax:
Practice Address - Street 1:1540 PITKIN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-4539
Practice Address - Country:US
Practice Address - Phone:929-414-2960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health