Pure Anti Aging Medical Center

LBN: Innovative Spine Care, Llc
Pure Anti Aging Medical Center is an health care organization with primary practice located at 18 W Ridgewood Ave Fl 2 , Paramus NJ 07652-2333. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Innovative Spine Care, Llc can be contacted via phone (201) 444-0020, or through Sharahy, Tatiana via phone (201) 444-0020.

Contact Information

Primary practice address
18 W Ridgewood Ave Fl 2 Paramus NJ 07652-2333
Phone: (201) 444-0020
Fax: (201) 444-0026
Website:
Map and Directions
Authorized official contact:
Name: Sharahy, Tatiana Doctor of Medicine (MD)
Phone: (201) 444-0020

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 25MA07099100 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07099100 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 25MA07099100 New Jersey

Profile Details

NPI number 1952425621
LBN Legal business name Innovative Spine Care, Llc
DBA Doing business as Pure Anti Aging Medical Center
Authorized official Sharahy, Tatiana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Apr 12th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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