Provider Demographics
NPI:1164401857
Name:PERSONAL TOUCH HOME AIDES OF NEW YORK INC.
Entity Type:Organization
Organization Name:PERSONAL TOUCH HOME AIDES OF NEW YORK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARX
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:718-468-4747
Mailing Address - Street 1:1985 MARCUS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-2008
Mailing Address - Country:US
Mailing Address - Phone:718-468-4747
Mailing Address - Fax:718-264-5834
Practice Address - Street 1:3632 NOSTRAND AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-5305
Practice Address - Country:US
Practice Address - Phone:718-375-6111
Practice Address - Fax:718-375-6619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7001623251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01107648Medicaid
NY337261OtherMEDICARE PTAN
NY01107648Medicaid