Organization
PREMIER HEALTHCARE, INC.
Active
Parent organization
PREMIER HEALTHCARE, INC.
Other names
Premier Healthcare Article 16
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER HEALTHCARE, INC.
Authorized official
MR. VLAD KUZNETSOV PHD, MBA, PA (EXECUTIVE DIRECTOR)
(212) 273-6116
Entity
Organization
Contact information
Practice address
460 WEST 34TH STREET, 9TH FLOOR, NEW YORK, NY 10001-2382
(212) 273-6519
Mailing address
460 W 34TH ST FL 11, NEW YORK, NY 10001-2382
(212) 273-6100
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NY
Other
Enumeration date
03/17/2009
Last updated
04/27/2017
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