Healthcare Provider Details

I. General information

NPI: 1902311764
Provider Name (Legal Business Name): MYA HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2017
Last Update Date: 12/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 ATLANTIC AVE FL 8
BOSTON MA
02111-2735
US

IV. Provider business mailing address

745 ATLANTIC AVE FL 8
BOSTON MA
02111-2735
US

V. Phone/Fax

Practice location:
  • Phone: 765-409-1596
  • Fax:
Mailing address:
  • Phone: 765-409-1596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name: NATALY YOUSSEF
Title or Position: OWNER
Credential:
Phone: 765-409-1596