Provider Demographics
NPI:1336883644
Name:PPS CLINIX NEW YORK
Entity Type:Organization
Organization Name:PPS CLINIX NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:H
Authorized Official - Last Name:RUFEN-BLANCHETTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:929-385-7957
Mailing Address - Street 1:14932 83RD ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-1207
Mailing Address - Country:US
Mailing Address - Phone:929-385-7957
Mailing Address - Fax:
Practice Address - Street 1:101 AVENUE OF THE AMERICAS FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1905
Practice Address - Country:US
Practice Address - Phone:347-829-7110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty