Healthcare Provider Details

I. General information

NPI: 1831860527
Provider Name (Legal Business Name): CHECKMATE HEALTH STRATEGIES PA P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 DUPONT ST APT 1
BROOKLYN NY
11222-1167
US

IV. Provider business mailing address

815 ROUTE 82 UNIT 181
HOPEWELL JUNCTION NY
12533-7737
US

V. Phone/Fax

Practice location:
  • Phone: 855-682-2455
  • Fax: 855-835-5857
Mailing address:
  • Phone: 855-682-2455
  • Fax: 558-355-8578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: ELEONORA J WALCZAK
Title or Position: OWNER
Credential: PA
Phone: 855-682-2455