Healthcare Provider Details

I. General information

NPI: 1871422907
Provider Name (Legal Business Name): PLATINUM CARE COORDINATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 BEDFORD AVE APT 5A
BROOKLYN NY
11249-9614
US

IV. Provider business mailing address

616 BEDFORD AVE APT 5A
BROOKLYN NY
11249-9614
US

V. Phone/Fax

Practice location:
  • Phone: 347-572-4044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: CHAIM ROSENFELD
Title or Position: CEO
Credential:
Phone: 347-572-4044