# IMA PROFESSIONAL SERVICES OF PA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740668409
- **Authorized official:** DAVID C PULVER (PRESIDENT)
- **Authorized official phone:** (914) 323-0307

## Contact information

- **Practice address:** 1930 S BROAD ST, SUITE 11, PHILADELPHIA, PA 19145-2328
- **Practice address phone:** (267) 758-2460
- **Mailing address:** 660 WHITE PLAINS RD, SUITE 630, TARRYTOWN, NY 10591-5139
- **Mailing address phone:** (914) 323-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/14/2015
- **Last updated:** 05/14/2015