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NPI Code Detail

MEDICARE: PSCH, INC

MEDICARE: PSCH, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center01547608NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841354131
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSCH, INC
Provider Business Mailing Address
First Line : 142-02 20TH AVENUE
Second Line : 3RD FLOOR
City : FLUSHING
State : NY
Zip : 11351
Country : US
Telephone Number : 718-559-0555
Fax Number : 718-445-7111
Provider Business Practice Location Address
First Line : 10154 117TH ST
Second Line :
City : SOUTH RICHMOND HILL
State : NY
Zip : 11419-1906
Country : US
Telephone Number : 718-846-4007
Fax Number :
Authorized Official
Title or Position : VP OF FINANCE FOR CLINICAL SERVICES
Name : MS. JACQUELINE RIVERA-HERRERA
Credential :
Telephone Number : 347-542-4217
Provider Enumeration Date : 12/20/2006
Last Update Date : 02/24/2015

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