Premier Healthcare, Inc.

LBN: Premier Healthcare, Inc.
Premier Healthcare, Inc. is an health care organization with primary practice located at 460 West 34Th Street 9Th Floor, New York NY 10001-2382. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Premier Healthcare, Inc. can be contacted via phone (212) 273-6519, or through Kuznetsov, Vlad via phone (212) 273-6116.

Contact Information

Primary practice address
460 West 34Th Street 9Th Floor New York NY 10001-2382
Fax: (212) 273-6427
Website:
Authorized official contact:
Name: Kuznetsov, Vlad PHD, MBA, PA

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 7002154R New York

Profile Details

NPI number 1760436190
LBN Legal business name Premier Healthcare, Inc.
DBA Doing business as
Authorized official Kuznetsov, Vlad PHD, MBA, PA
Entity Organization
Organization subpart 1 Yes
Enumeration date May 20th, 2006
Last updated Apr 27th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760436190 NPPES
New York MEDICAID 01751000

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