Organization
PROFESSIONAL MEDSTAFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARISOL GARCIA (PRESIDENT)
(516) 882-5230
Entity
Organization
Contact information
Practice address
10 CEDAR SWAMP RD, 2ND FLOOR - SUITE 1, GLEN COVE, NY 11542-3700
(516) 882-5230
(516) 277-1620
Mailing address
10 CEDAR SWAMP RD, 2ND FLOOR - SUITE 1, GLEN COVE, NY 11542-3700
(516) 882-5230
(516) 277-1620
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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