Provider Demographics
NPI:1962156968
Name:RECOVERY FIRST OHIO
Entity type:Organization
Organization Name:RECOVERY FIRST OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NINO
Authorized Official - Middle Name:
Authorized Official - Last Name:DIIULLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-306-0116
Mailing Address - Street 1:PO BOX 76
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-0076
Mailing Address - Country:US
Mailing Address - Phone:614-755-6370
Mailing Address - Fax:614-698-7614
Practice Address - Street 1:1797 HILL RD N
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7996
Practice Address - Country:US
Practice Address - Phone:614-755-6370
Practice Address - Fax:614-698-7614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Single Specialty