Organization
PSC COMMUNITY SUPPORT SERVICES, INC.
Active
Parent organization
PSC COMMUNITY SERVICES, INC
Other names
Blue Parasol
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSC COMMUNITY SERVICES, INC
Authorized official
MR. CHRISTOPHER H. OLECHOWSKI (CHIEF EXECUTIVE OFFICER)
(718) 349-1905
Entity
Organization
Contact information
Practice address
5102 21ST ST, FOURTH FLOOR - 4-A, LONG ISLAND CITY, NY 11101-5357
(718) 349-1905
(718) 349-0908
Mailing address
5102 21ST ST, FOURTH FLOOR - 4-A, LONG ISLAND CITY, NY 11101-5357
(718) 349-1905
(718) 349-0908
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1997L001
NY
Other
Enumeration date
07/17/2015
Last updated
01/28/2016
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