Provider Demographics
NPI:1952617078
Name:PCDI HEALTHCARE AND CONSULTANTS
Entity Type:Organization
Organization Name:PCDI HEALTHCARE AND CONSULTANTS
Other - Org Name:PCDI HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:D
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:212-584-8025
Mailing Address - Street 1:130 WILLIAM ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-3806
Mailing Address - Country:US
Mailing Address - Phone:212-584-8025
Mailing Address - Fax:
Practice Address - Street 1:130 WILLIAM ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3806
Practice Address - Country:US
Practice Address - Phone:212-584-8025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based