Provider Demographics
NPI:1538452271
Name:PICTURE PERFECT HEALTH LLC
Entity type:Organization
Organization Name:PICTURE PERFECT HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINTUCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-493-0948
Mailing Address - Street 1:636 NUTLEY PL
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3028
Mailing Address - Country:US
Mailing Address - Phone:516-493-0948
Mailing Address - Fax:516-595-8469
Practice Address - Street 1:636 NUTLEY PL
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3028
Practice Address - Country:US
Practice Address - Phone:516-493-0948
Practice Address - Fax:516-595-8469
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FINETOUCH CHIROPRACTIC WELL DIAGNOSTICS, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-26
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70004702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100108384Medicare UPIN