| Pps Healthcare Services Corporation | |
|
101 Avenue Of The Americas Fl 8 New York NY 10013-1905 | |
| (347) 829-7110 | |
| Not Available |
| Full Name | Pps Healthcare Services Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Avenue Of The Americas Fl 8, New York, New York |
| Authorized Official Name and Position | Raymond Hude Rufen-blanchette (MANAGING PARTNER/CEO) |
| Authorized Official Contact | 3478297110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pps Healthcare Services Corporation 14932 83rd St Howard Beach NY 11414-1207 Ph: (347) 829-7110 | Pps Healthcare Services Corporation 101 Avenue Of The Americas Fl 8 New York NY 10013-1905 Ph: (347) 829-7110 |
| NPI Number | 1386382679 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 05/25/2022 |
| Medicare PECOS PAC ID | 1456723212 |
|---|---|
| Medicare Enrollment ID | O20230206000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386382679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul Lance Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356438097 PECOS PAC ID: 8224937545 Enrollment ID: I20230206000848 |
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