MEDICARE: PERSONAL TOUCH HOME CARE OF NEW YORK, 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	0021L001	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	:	1932106010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL TOUCH HOME CARE OF NEW YORK, INC

Provider Business Mailing Address
First Line	:	36-36 33RD STREET
Second Line	:	SUITE 501
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11106-2333
Country	:	US
Telephone Number	:	718-468-2500
Fax Number	:	718-264-5842

Provider Business Practice Location Address
First Line	:	36-36 33RD STREET
Second Line	:	SUITE 501
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11106-2333
Country	:	US
Telephone Number	:	718-468-2500
Fax Number	:	718-264-5842

Authorized Official
Title or Position	:	BOARD MEMBER/PRESIDENT
Name	:	MR. ROBERT MARX
Credential	:
Telephone Number	:	718-467-4747

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	03/13/2019

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