Healthcare Provider Details

I. General information

NPI: 1063177715
Provider Name (Legal Business Name): APOLLO HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2021
Last Update Date: 11/07/2021
Certification Date: 11/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2289 5TH AVE
NEW YORK NY
10037-1702
US

IV. Provider business mailing address

2289 5TH AVE
NEW YORK NY
10037-1702
US

V. Phone/Fax

Practice location:
  • Phone: 347-446-2131
  • Fax:
Mailing address:
  • Phone: 347-446-2131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALMENDRA HUACHILLO
Title or Position: DIRECTOR
Credential:
Phone: 347-446-2131