Healthcare Provider Details

I. General information

NPI: 1932106010
Provider Name (Legal Business Name): PERSONAL TOUCH HOME CARE OF NEW YORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 03/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36-36 33RD STREET SUITE 501
LONG ISLAND CITY NY
11106-2333
US

IV. Provider business mailing address

36-36 33RD STREET SUITE 501
LONG ISLAND CITY NY
11106-2333
US

V. Phone/Fax

Practice location:
  • Phone: 718-468-2500
  • Fax: 718-264-5842
Mailing address:
  • Phone: 718-468-2500
  • Fax: 718-264-5842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0021L001
License Number StateNY

VIII. Authorized Official

Name: MR. ROBERT MARX
Title or Position: BOARD MEMBER/PRESIDENT
Credential:
Phone: 718-467-4747