Healthcare Provider Details

I. General information

NPI: 1124769930
Provider Name (Legal Business Name): ABLETO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 W 37TH ST FL 5
NEW YORK NY
10018-4252
US

IV. Provider business mailing address

320 W 37TH ST FL 5
NEW YORK NY
10018-4252
US

V. Phone/Fax

Practice location:
  • Phone: 844-422-5386
  • Fax:
Mailing address:
  • Phone: 844-422-5386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: RICHARD MATTESON
Title or Position: VP OF FINANCE
Credential:
Phone: 844-422-5386