Whalio Doctors

NPI 1710509799

Laridian Koinonia

Organisation Lodging Provider Brooklyn, NY

Practice location

Address
8115 5th Ave, Brooklyn, NY 11209-4102
Phone
(718) 218-4442
Mailing address
3050 Perry Ave APT 3d, Bronx, NY 10467-4130

Authorised official

Name
Jason Calderon
Title
President
Phone
(505) 203-7689

Registered specialties (2)

Lodging Provider Primary
Other Service Providers Taxonomy 177F00000X
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Registry record

NPI
1710509799
Entity type
Organization
NPI issued
12 May 2020
Record last updated
12 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.