Provider Demographics
NPI:1003004425
Name:PERFECT STEPS CARE CENTER, INC.
Entity Type:Organization
Organization Name:PERFECT STEPS CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VASTHY
Authorized Official - Middle Name:T
Authorized Official - Last Name:JEAN-LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:347-770-9900
Mailing Address - Street 1:1665 BEDFORD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-2028
Mailing Address - Country:US
Mailing Address - Phone:347-770-9900
Mailing Address - Fax:718-819-1318
Practice Address - Street 1:1665 BEDFORD AVE STE 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-2028
Practice Address - Country:US
Practice Address - Phone:347-770-9900
Practice Address - Fax:718-819-1318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2022-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006152261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04096026Medicaid
NYA100106210Medicare PIN