Provider Demographics
NPI:1053486670
Name:PARTNERS IN CRITICAL CARE, LLP
Entity Type:Organization
Organization Name:PARTNERS IN CRITICAL CARE, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:516-625-1014
Mailing Address - Street 1:32 CEDAR AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-4616
Mailing Address - Country:US
Mailing Address - Phone:516-625-1014
Mailing Address - Fax:516-414-4011
Practice Address - Street 1:32 CEDAR AVENUE EXT
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-4616
Practice Address - Country:US
Practice Address - Phone:516-625-1014
Practice Address - Fax:516-414-4011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX IDENTIFICATION NUMBER