Healthcare Provider Details

I. General information

NPI: 1770250318
Provider Name (Legal Business Name): MEDCARE NH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 ROCHESTER HILL RD
ROCHESTER NH
03867-3216
US

IV. Provider business mailing address

65 RAMAPO VALLEY RD STE 102B
MAHWAH NJ
07430-1100
US

V. Phone/Fax

Practice location:
  • Phone: 603-335-3955
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: YITTY FALKOWITZ
Title or Position: DIRECTOR
Credential:
Phone: 212-734-6621