Provider Demographics
NPI:1053111740
Name:ELISAINTHE LLC
Entity type:Organization
Organization Name:ELISAINTHE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIBERT
Authorized Official - Suffix:
Authorized Official - Credentials:ASSOCIATES
Authorized Official - Phone:845-945-2832
Mailing Address - Street 1:228 E ROUTE 59 # 104
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2905
Mailing Address - Country:US
Mailing Address - Phone:845-945-2832
Mailing Address - Fax:
Practice Address - Street 1:418 MARKET ST # 20
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2744
Practice Address - Country:US
Practice Address - Phone:845-945-2832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty