Healthcare Provider Details

I. General information

NPI: 1194818799
Provider Name (Legal Business Name): HIMALAYAN INTERNATIONAL INSTITUTE OF YOGA SCIENCE AND PHILOSOPHY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

952 BETHANY TPKE
HONESDALE PA
18431
US

IV. Provider business mailing address

952 BETHANY TPKE
HONESDALE PA
18431
US

V. Phone/Fax

Practice location:
  • Phone: 570-253-5551
  • Fax: 570-253-4164
Mailing address:
  • Phone: 570-253-5551
  • Fax: 570-253-4164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD056330L
License Number StatePA

VIII. Authorized Official

Name: MS. SUZANNE GRADY
Title or Position: SECRETARY, BOARD OF DIRECTORS
Credential:
Phone: 570-253-5551