Provider Demographics
NPI:1790848745
Name:MEDICAL PRACTICE SOLUTIONS
Entity Type:Organization
Organization Name:MEDICAL PRACTICE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TESSICAR
Authorized Official - Middle Name:O
Authorized Official - Last Name:PAISLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-231-3966
Mailing Address - Street 1:927 E 213TH ST
Mailing Address - Street 2:2
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-1111
Mailing Address - Country:US
Mailing Address - Phone:347-427-0506
Mailing Address - Fax:718-231-3992
Practice Address - Street 1:927 E 213TH ST
Practice Address - Street 2:2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-1111
Practice Address - Country:US
Practice Address - Phone:347-427-0506
Practice Address - Fax:718-231-3992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty