MEDICARE: PSC COMMUNITY SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	0542L001	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528137767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSC COMMUNITY SERVICES, INC.

Provider Business Mailing Address
First Line	:	5102 21ST ST
Second Line	:	2ND FLOOR
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-5357
Country	:	US
Telephone Number	:	718-389-7060
Fax Number	:	718-389-6781

Provider Business Practice Location Address
First Line	:	5102 21ST ST
Second Line	:	2ND FLOOR
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-5357
Country	:	US
Telephone Number	:	718-389-7060
Fax Number	:	718-389-6781

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. CHRISTOPHER H OLECHOWSKI
Credential	:
Telephone Number	:	718-398-7068

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	01/28/2016

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Directions to “PSC COMMUNITY SERVICES, INC. ” Practice Location

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