Healthcare Provider Details

I. General information

NPI: 1831308279
Provider Name (Legal Business Name): PERSONAL TOUCH HOME AIDES OF NEW YORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 12/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3632 NOSTRAND AVE 4TH
BROOKLYN NY
11229-5305
US

IV. Provider business mailing address

22215 NORTHERN BLVD
BAYSIDE NY
11361-3603
US

V. Phone/Fax

Practice location:
  • Phone: 718-375-6111
  • Fax: 718-375-6619
Mailing address:
  • Phone: 718-468-4747
  • Fax: 718-264-5834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7001623
License Number StateNY

VIII. Authorized Official

Name: LORIGAY LASKIN
Title or Position: CONTRACT MANAGER
Credential:
Phone: 718-468-4747