Healthcare Provider Details

I. General information

NPI: 1801590971
Provider Name (Legal Business Name): FRIST CHOICE HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3163 BAINBRIDGE AVE
BRONX NY
10467-3907
US

IV. Provider business mailing address

1254 CENTRAL PARK AVE
YONKERS NY
10704-1059
US

V. Phone/Fax

Practice location:
  • Phone: 914-294-0080
  • Fax: 914-294-0079
Mailing address:
  • Phone: 612-644-9447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. KARTHIGAYEN GOPLALA KRISHNAN
Title or Position: MD
Credential: PHYSICAL THERAPIST
Phone: 612-644-9447