1902097660 NPI number — PUBLIC HEALTH SOLUTIONS

Table of content: (NPI 1902097660)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902097660 NPI number — PUBLIC HEALTH SOLUTIONS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PUBLIC HEALTH SOLUTIONS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902097660
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
220 CHURCH ST
Provider Second Line Business Mailing Address:
5TH FLOOR
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10013-2904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-619-6400
Provider Business Mailing Address Fax Number:
646-619-6782

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9004 161ST ST
Provider Second Line Business Practice Location Address:
5TH FLOOR
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11432-6103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-523-2123
Provider Business Practice Location Address Fax Number:
718-522-5833
Provider Enumeration Date:
08/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RAUTENBERG
Authorized Official First Name:
ELLEN
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXCECUTIVE OFFICER
Authorized Official Telephone Number:
646-619-6401

Provider Taxonomy Codes

  • Taxonomy code: 261QC1500X , with the licence number:  7002296R , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00245538 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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