Healthcare Provider Details

I. General information

NPI: 1255683447
Provider Name (Legal Business Name): PERSONAL TOUCH MEDICAL MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2012
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 WILLIAMSBRIDGE RD 2ND FL
BRONX NY
10461-1604
US

IV. Provider business mailing address

1927 WILLIAMSBRIDGE RD 2ND FL
BRONX NY
10461-1604
US

V. Phone/Fax

Practice location:
  • Phone: 718-828-1549
  • Fax: 718-828-5029
Mailing address:
  • Phone: 718-828-1549
  • Fax: 718-828-5029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MARISOL APONTE
Title or Position: PRESIDENT
Credential:
Phone: 718-828-1549