Healthcare Provider Details

I. General information

NPI: 1275281453
Provider Name (Legal Business Name): PYLON GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 ROUTE 73 N STE 104
MARLTON NJ
08053-3422
US

IV. Provider business mailing address

1825 W 12TH ST FL 2
BROOKLYN NY
11223-2429
US

V. Phone/Fax

Practice location:
  • Phone: 347-863-9237
  • Fax:
Mailing address:
  • Phone: 347-863-9237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KA HO LEE
Title or Position: MEMBER
Credential:
Phone: 347-863-9237