NPI Code Details Logo

NPI 1558899260

NPI 1558899260 : URBAN LUXURY INC. : RIDGEWOOD, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1558899260
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    URBAN LUXURY INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/24/2017
-----------------------------------------------------
    Last Update Date     |    07/21/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1001 IRVING AVE STE 2 
-----------------------------------------------------
    City                 |    RIDGEWOOD
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11385-5302
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-200-2022
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9302 75TH STREET 1
-----------------------------------------------------
    City                 |    WOODHAVEN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11421
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-503-1155
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     JOEL H PENA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    718-503-1155
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    344600000X
-----------------------------------------------------
    Taxonomy Name        |    Taxi
-----------------------------------------------------
    License Number       |    B03025
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.