Healthcare Provider Details

I. General information

NPI: 1730454083
Provider Name (Legal Business Name): PARCARE COMMUNITY HEALTH NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 02/17/2021
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 PARK AVE
BROOKLYN NY
11205
US

IV. Provider business mailing address

445 PARK AVE
BROOKLYN NY
11205-2735
US

V. Phone/Fax

Practice location:
  • Phone: 718-963-0800
  • Fax: 718-831-2763
Mailing address:
  • Phone: 718-963-0800
  • Fax: 718-831-2763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MENDY ZARCHI
Title or Position: OPERATIONS
Credential:
Phone: 718-963-0800