Provider Demographics
NPI:1710703707
Name:DEAN HEALTH LLC
Entity type:Organization
Organization Name:DEAN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC.
Authorized Official - Prefix:
Authorized Official - First Name:LIWU
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-375-7802
Mailing Address - Street 1:4526 170TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3319
Mailing Address - Country:US
Mailing Address - Phone:718-799-0170
Mailing Address - Fax:929-312-3799
Practice Address - Street 1:13511 40TH RD STE 3A
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5330
Practice Address - Country:US
Practice Address - Phone:929-375-7802
Practice Address - Fax:929-312-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty