Provider Demographics
NPI:1144008525
Name:RFELINTERGRATE
Entity type:Organization
Organization Name:RFELINTERGRATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:REYNALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RVT
Authorized Official - Phone:917-349-0220
Mailing Address - Street 1:196 WILLOUGHBY ST APT 3S
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-7588
Mailing Address - Country:US
Mailing Address - Phone:917-349-0220
Mailing Address - Fax:
Practice Address - Street 1:196 WILLOUGHBY ST APT 3S
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-7588
Practice Address - Country:US
Practice Address - Phone:917-349-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No333300000XSuppliersEmergency Response System CompaniesGroup - Multi-Specialty