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Organization
TOTAL MEDICAL 360 LLC
Active
Organization
TOTAL MEDICAL 360 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIJU K JOSE (OWNER)
(516) 477-9935
Entity
Organization
Contact information
Practice address
188 POST AVE UNIT A, WESTBURY, NY 11590-3060
(516) 477-9935
Mailing address
188 POST AVE UNIT A, WESTBURY, NY 11590-3060
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
227900000X
Registered Respiratory Therapist
—
NULL
227900000X
Registered Respiratory Therapist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
01/06/2024
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