Provider Demographics
NPI:1487879037
Name:CENTER FOR BALANCED HEALTH LLC
Entity type:Organization
Organization Name:CENTER FOR BALANCED HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARDYS
Authorized Official - Middle Name:CAMPBELL
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-736-2998
Mailing Address - Street 1:1326 WASHINGTON ST
Mailing Address - Street 2:P.O. BOX 801
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-5906
Mailing Address - Country:US
Mailing Address - Phone:914-736-2998
Mailing Address - Fax:914-788-0161
Practice Address - Street 1:1326 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-5906
Practice Address - Country:US
Practice Address - Phone:914-736-2998
Practice Address - Fax:914-788-0161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008908111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty