Provider Demographics
NPI:1891458352
Name:PREFERRED HEALTHCARE ASSOCIATES INC
Entity Type:Organization
Organization Name:PREFERRED HEALTHCARE ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOMENICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BIANCHI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:413-455-6638
Mailing Address - Street 1:7 MAGAURAN DR STE 3
Mailing Address - Street 2:
Mailing Address - City:STAFFORD SPRINGS
Mailing Address - State:CT
Mailing Address - Zip Code:06076-4040
Mailing Address - Country:US
Mailing Address - Phone:413-455-6638
Mailing Address - Fax:
Practice Address - Street 1:7 MAGAURAN DR STE 3
Practice Address - Street 2:
Practice Address - City:STAFFORD SPRINGS
Practice Address - State:CT
Practice Address - Zip Code:06076-4040
Practice Address - Country:US
Practice Address - Phone:413-455-6638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty