Healthcare Provider Details

I. General information

NPI: 1962199919
Provider Name (Legal Business Name): MOTIV HEALTH SERVICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 5TH AVE FL 8
NEW YORK NY
10003-3019
US

IV. Provider business mailing address

85 5TH AVE FL 8
NEW YORK NY
10003-3019
US

V. Phone/Fax

Practice location:
  • Phone: 908-219-7678
  • Fax:
Mailing address:
  • Phone: 908-219-7678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEX W MOHSENI
Title or Position: PRESIDENT
Credential: MD
Phone: 301-706-4461