Provider Demographics
NPI:1730618018
Name:TECHNOLOGY TESTING OF NY, LLC
Entity type:Organization
Organization Name:TECHNOLOGY TESTING OF NY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MAURICIO
Authorized Official - Middle Name:
Authorized Official - Last Name:BARDI
Authorized Official - Suffix:
Authorized Official - Credentials:TECHNICIAN
Authorized Official - Phone:646-724-6127
Mailing Address - Street 1:7114 66TH DR # 3
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-2110
Mailing Address - Country:US
Mailing Address - Phone:646-724-6127
Mailing Address - Fax:
Practice Address - Street 1:7114 66 DRIVE, #3
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379
Practice Address - Country:US
Practice Address - Phone:646-724-6127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374700000XNursing Service Related ProvidersTechnicianGroup - Single Specialty