Provider Demographics
NPI:1982447967
Name:DIRECT HEALTH LLC
Entity type:Organization
Organization Name:DIRECT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ITZKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:646-450-6496
Mailing Address - Street 1:1119 E 31ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4732
Mailing Address - Country:US
Mailing Address - Phone:646-450-6496
Mailing Address - Fax:
Practice Address - Street 1:971 E 26TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3725
Practice Address - Country:US
Practice Address - Phone:646-450-6496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty