Healthcare Provider Details

I. General information

NPI: 1598408916
Provider Name (Legal Business Name): MVM THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 04/14/2022
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1749 E 16TH ST APT 2A
BROOKLYN NY
11229-2967
US

IV. Provider business mailing address

1749 E 16TH ST APT 2A
BROOKLYN NY
11229-2967
US

V. Phone/Fax

Practice location:
  • Phone: 718-964-7236
  • Fax:
Mailing address:
  • Phone: 718-964-7236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARINA MONSKAYA
Title or Position: OWNER/ CEO
Credential: OTR/L
Phone: 718-964-7236