Organization
PRIME PSI INC
Active
Other names
FALAK LTC
Organization subpart
No
Provider details
NPI number
Authorized official
FAZAL RAHMAN (PRESIDENT)
(718) 828-0428
Entity
Organization
Contact information
Practice address
2500 SAINT RAYMONDS AVE, STE 104, BRONX, NY 10461-3146
(718) 792-0360
(718) 792-0361
Mailing address
2500 SAINT RAYMONDS AVE, STE 104, BRONX, NY 10461-3146
(718) 792-0360
(718) 792-0361
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
027712
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02749351
—
NY
01
—
3350410
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/19/2006
Last updated
12/12/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us