Provider Demographics
NPI:1740568021
Name:EXPRESS CARE INC.
Entity Type:Organization
Organization Name:EXPRESS CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:PASION
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-577-3184
Mailing Address - Street 1:6945 108TH ST
Mailing Address - Street 2:4A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3850
Mailing Address - Country:US
Mailing Address - Phone:718-577-3184
Mailing Address - Fax:
Practice Address - Street 1:6945 108TH ST
Practice Address - Street 2:4A
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3850
Practice Address - Country:US
Practice Address - Phone:718-577-3184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021377302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization