Provider Demographics
NPI:1912442674
Name:TRANSITIONAL CARE MEDICAL SERVICES PLLC
Entity Type:Organization
Organization Name:TRANSITIONAL CARE MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-734-0000
Mailing Address - Street 1:PO BOX 286500
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0005
Mailing Address - Country:US
Mailing Address - Phone:718-734-0000
Mailing Address - Fax:347-590-7330
Practice Address - Street 1:1641 3RD AVE
Practice Address - Street 2:STE 2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3623
Practice Address - Country:US
Practice Address - Phone:718-734-0000
Practice Address - Fax:347-590-7330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-04
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153318207Q00000X
NY114479207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty