Organization
ISLANDWIDE DSH SERVICES INC.
Active
Other names
Quality Life Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOUNTASER KHALIFA (PRESIDENT)
(516) 672-0998
Entity
Organization
Contact information
Practice address
389 FORT SALONGA RD, SUITE 3, NORTHPORT, NY 11768-3044
(516) 672-0998
Mailing address
1 HIGH HEDGES CT, SAINT JAMES, NY 11780-1409
(516) 672-0998
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
2279E1000X
Educational Registered Respiratory Therapist
—
—
2279G1100X
General Care Registered Respiratory Therapist
—
—
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary
—
—
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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