| Ageless Body By New Science Llc | |
|
2500 E Hallandale Beach Blvd Ste 406 Hallandale Beach FL 33009-4837 | |
| (954) 990-0302 | |
| (954) 908-7101 |
| Full Name | Ageless Body By New Science Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 2500 E Hallandale Beach Blvd Ste 406, Hallandale Beach, Florida |
| Authorized Official Name and Position | Ricardo Presas (DIRECTOR) |
| Authorized Official Contact | 9549900302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ageless Body By New Science Llc 2500 E Hallandale Beach Blvd Ste 406 Hallandale Beach FL 33009-4837 Ph: (954) 990-0302 | Ageless Body By New Science Llc 2500 E Hallandale Beach Blvd Ste 406 Hallandale Beach FL 33009-4837 Ph: (954) 990-0302 |
| NPI Number | 1760841472 |
|---|---|
| Provider Enumeration Date | 02/23/2016 |
| Last Update Date | 03/27/2019 |
| Medicare PECOS PAC ID | 5991047789 |
|---|---|
| Medicare Enrollment ID | O20190426000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760841472 | NPI | - | NPPES |
| 1760841472 | Other | FL | MEDICAL OFFICE |
| 1760841472 | Medicaid | FL |
| Provider Name | Valentyna Nesterova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568628113 PECOS PAC ID: 6800065327 Enrollment ID: I20110817000571 |
| Provider Name | Inna S Trakhtenberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851430102 PECOS PAC ID: 1951458314 Enrollment ID: I20190426000871 |
| Provider Name | Benjamin Petrolati |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356043376 PECOS PAC ID: 0941674196 Enrollment ID: I20230329003417 |
| Provider Name | Elina Kaganovsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205867140 PECOS PAC ID: 7618988437 Enrollment ID: I20241213000168 |
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