Healthcare Provider Details

I. General information

NPI: 1548559297
Provider Name (Legal Business Name): PRESTIGE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 04/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

743 PIERCE RD
CLIFTON PARK NY
12065-1302
US

IV. Provider business mailing address

743 PIERCE RD
CLIFTON PARK NY
12065-1302
US

V. Phone/Fax

Practice location:
  • Phone: 518-877-7426
  • Fax: 518-877-4782
Mailing address:
  • Phone: 518-877-7426
  • Fax: 518-877-4782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL GARRISON
Title or Position: CONTROLLER
Credential:
Phone: 518-877-7426