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General NPI Number Information
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NPI Number | 1619108263
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Entity Type | Organization
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Legal Business Name | ADVANCED HEALTH PRO, INC.
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 6706 ROOSEVELT AVE
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City | WOODSIDE
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State | NY
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Zip | 11377-2924
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Country | US
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Telephone | 718-476-2010
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Fax | 718-476-2125
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Provider Business Mailing Address
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Address Line | 6706 ROOSEVELT AVE
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City | WOODSIDE
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State | NY
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Zip | 11377-2924
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Country | US
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Telephone | 718-476-2010
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Fax | 718-476-2125
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL H RHEE
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Credential |
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Telephone | 718-476-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NY
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