| Im So Yoga | |
|
1186 Raymond Blvd Fl 4 Newark NJ 07102-4108 | |
| (862) 236-3376 | |
| Not Available |
| Full Name | Im So Yoga |
|---|---|
| Speciality | Preferred Provider Organization |
| Location | 1186 Raymond Blvd Fl 4, Newark, New Jersey |
| Authorized Official Name and Position | Leslie L Hernandez (CEO) |
| Authorized Official Contact | 8622363376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Im So Yoga 15 Warren St Apt 2 Newark NJ 07102-3089 Ph: (973) 495-5255 | Im So Yoga 1186 Raymond Blvd Fl 4 Newark NJ 07102-4108 Ph: (862) 236-3376 |
| NPI Number | 1740924687 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740924687 | NPI | - | NPPES |
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