Provider Demographics
NPI:1932106010
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:BOARD MEMBER/PRESIDENT
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:718-467-4747
Mailing Address - Street 1:36-36 33RD STREET
Mailing Address - Street 2:SUITE 501
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2333
Mailing Address - Country:US
Mailing Address - Phone:718-468-2500
Mailing Address - Fax:718-264-5842
Practice Address - Street 1:36-36 33RD STREET
Practice Address - Street 2:SUITE 501
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11106-2333
Practice Address - Country:US
Practice Address - Phone:718-468-2500
Practice Address - Fax:718-264-5842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0021L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01072480Medicaid