Healthcare Provider Details

I. General information

NPI: 1043019995
Provider Name (Legal Business Name): PATIENT CARE SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 PIERCES RD
NEWBURGH NY
12550-3234
US

IV. Provider business mailing address

3 PIERCES RD
NEWBURGH NY
12550-3234
US

V. Phone/Fax

Practice location:
  • Phone: 845-562-6800
  • Fax: 845-367-5570
Mailing address:
  • Phone: 845-562-6800
  • Fax: 845-367-5570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JANETTE ASARO PENA
Title or Position: MEMBER
Credential:
Phone: 917-574-6396