Healthcare Provider Details

I. General information

NPI: 1891458352
Provider Name (Legal Business Name): PREFERRED HEALTHCARE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2021
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MAGAURAN DR STE 3
STAFFORD SPRINGS CT
06076-4040
US

IV. Provider business mailing address

7 MAGAURAN DR STE 3
STAFFORD SPRINGS CT
06076-4040
US

V. Phone/Fax

Practice location:
  • Phone: 860-684-5438
  • Fax:
Mailing address:
  • Phone: 413-455-6638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DOMENICK BIANCHI
Title or Position: OWNER
Credential: APRN
Phone: 860-684-5438