Healthcare Provider Details

I. General information

NPI: 1326624255
Provider Name (Legal Business Name): PROFESSIONAL CARE MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 FRANKLIN AVE STE 500
GARDEN CITY NY
11530-1650
US

IV. Provider business mailing address

1225 FRANKLIN AVE STE 500
GARDEN CITY NY
11530-1650
US

V. Phone/Fax

Practice location:
  • Phone: 914-610-7398
  • Fax:
Mailing address:
  • Phone: 718-441-6802
  • Fax: 718-441-6804

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: SIMON ARONSHTEIN
Title or Position: CEO
Credential:
Phone: 718-441-6802