Organization
INNOBA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKYEONG KIM LBA (DIRECTOR)
(718) 640-6550
Entity
Organization
Contact information
Practice address
5143 BELL BLVD, BAYSIDE HILLS, NY 11364-1225
(718) 640-6550
Mailing address
5143 BELL BLVD, BAYSIDE HILLS, NY 11364-1225
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000632
NY
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up