=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972104073
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NOLIMITS NYC CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/04/2020
-----------------------------------------------------
Last Update Date | 11/04/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2753 CONEY ISLAND AVE FL 1
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11235-5015
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-616-8690
-----------------------------------------------------
Fax | 917-830-6387
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2753 CONEY ISLAND AVE FL 1
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11235-5015
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-616-8690
-----------------------------------------------------
Fax | 917-830-6387
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. EDWARD MORGENSHTEYN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 718-616-8690
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------