Provider Demographics
NPI:1730964917
Name:LOVE AT FIRST SIGHT 3D 4D STUDIO, LLC
Entity type:Organization
Organization Name:LOVE AT FIRST SIGHT 3D 4D STUDIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ULTRASOUND SONOGRAPHER
Authorized Official - Prefix:
Authorized Official - First Name:TASHA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:CRUMP
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:845-394-0095
Mailing Address - Street 1:90 NORTH ST STE 207
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-5360
Mailing Address - Country:US
Mailing Address - Phone:845-394-0095
Mailing Address - Fax:
Practice Address - Street 1:90 NORTH ST STE 207
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-5360
Practice Address - Country:US
Practice Address - Phone:845-394-0095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty