Healthcare Provider Details

I. General information

NPI: 1558455410
Provider Name (Legal Business Name): HEALTH CONCEPTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6111 QUEENS BLVD
WOODSIDE NY
11377-4965
US

IV. Provider business mailing address

6111 QUEENS BLVD
WOODSIDE NY
11377-4965
US

V. Phone/Fax

Practice location:
  • Phone: 718-205-0393
  • Fax: 718-205-0394
Mailing address:
  • Phone: 718-205-0393
  • Fax: 718-205-0394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number StateNY

VIII. Authorized Official

Name: MRS. JOY CLEMENZA
Title or Position: PRESIDENT
Credential:
Phone: 718-205-0393