Organization
PREMIER PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH T SHEN M.D. (PRESIDENT)
(516) 883-3383
Entity
Organization
Contact information
Practice address
14 VANDERVENTER AVE STE 138, SUITE 130-138, PORT WASHINGTON, NY 11050-3737
(516) 883-3383
(516) 883-5812
Mailing address
14 VANDERVENTER AVE.SUITE 138, SUITE 130-138, PORT WASHINGTON, NY 11050
(516) 883-3383
(516) 883-5812
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
187122-1
NY
207Q00000X
Family Medicine Physician
171781
NY
207RC0000X
Cardiovascular Disease Physician
165520
NY
208100000X
Physical Medicine & Rehabilitation Physician
187122-1
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
187122-1
NY
2083P0901X
Public Health & General Preventive Medicine Physician
165520
NY
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
Primary
165520
NY
Other
Enumeration date
03/07/2007
Last updated
09/11/2025
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