Provider Demographics
NPI:1790099018
Name:PERSONAL TOUCH HOME CARE OF NEW YORK, INC.
Entity Type:Organization
Organization Name:PERSONAL TOUCH HOME CARE OF NEW YORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/BOARD MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-468-4747
Mailing Address - Street 1:1985 MARCUS AVENUE
Mailing Address - Street 2:SUITE LL05
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042-2029
Mailing Address - Country:US
Mailing Address - Phone:718-380-7600
Mailing Address - Fax:718-380-6092
Practice Address - Street 1:1985 MARCUS AVENUE
Practice Address - Street 2:SUITE LL05
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042-2029
Practice Address - Country:US
Practice Address - Phone:718-380-7600
Practice Address - Fax:718-380-6092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6779252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency