Healthcare Provider Details

I. General information

NPI: 1326891938
Provider Name (Legal Business Name): AAA NATURALS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 EMMONS AVE
BROOKLYN NY
11235-2781
US

IV. Provider business mailing address

5 BREWSTER ST STE 527
GLEN COVE NY
11542-2549
US

V. Phone/Fax

Practice location:
  • Phone: 718-757-0465
  • Fax:
Mailing address:
  • Phone: 718-757-0465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. ELI YAKUBOV
Title or Position: PRESIDENT
Credential:
Phone: 718-757-0465