Organization
INNOVATIVE HEALTHCARE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN Y. SHOCKNESS (VICE PRESIDENT)
(212) 544-9033
Entity
Organization
Contact information
Practice address
23 NAGLE AVE, GROUND FLOOR, NEW YORK, NY 10040-1405
(121) 254-4903
(212) 544-9097
Mailing address
23 NAGLE AVE, GROUND FLOOR, NEW YORK, NY 10040-1405
(121) 254-4903
(212) 544-9097
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0936L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02559479
—
NY
Enumeration date
05/04/2007
Last updated
01/22/2009
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