Wave USA INC.
Voluntary or Charitable in Bronx, NY. Organization (NPI-2).
NPI number1962014191
StatusActive
Last updated in NPPESAug 19, 2020
Details
- NPI
- 1962014191
- Entity type
- Organization (NPI-2)
- Legal business name
- Wave USA INC.
- Organization subpart
- No
- Enumeration date
- Aug 19, 2020
- Certification date
- Aug 19, 2020
- Last updated
- Aug 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251V00000X | Voluntary or Charitable | – | – | Yes |
Practice location
316 E 149th St Ste 11Bronx, NY 10451-5602
Phone 866-262-5756
Mailing address
929 E 224th StBronx, NY 10466-4603
Authorized official
Jeff Michel
Ceo
9295234249
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