Provider Demographics
NPI:1619369584
Name:BRIGHTPOINT HEALTH
Entity Type:Organization
Organization Name:BRIGHTPOINT HEALTH
Other - Org Name:HELP/PSI SERVICES CORP.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF FISCAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUCKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-681-8700
Mailing Address - Street 1:248 W 35TH ST
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2505
Mailing Address - Country:US
Mailing Address - Phone:718-681-8700
Mailing Address - Fax:646-380-1322
Practice Address - Street 1:1543-1545 INWOOD AVENUE, BRONX ADHCP
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-2001
Practice Address - Country:US
Practice Address - Phone:718-681-8700
Practice Address - Fax:646-380-1322
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGHTPOINT HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-02
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7000277R261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY331019Medicare UPIN
NY331017Medicare UPIN
NY331018Medicare UPIN