Premier Physician Services in Port Washington - Neuromusculoskeletal Medicine, Sports Medicine
Premier Physician Services - NPI 1427188473
Premier Physician Services is a Neuromusculoskeletal Medicine, Sports Medicine in Port Washington, New York. Premier Physician Services practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Premier Physician Services is 1427188473. The last update date is 2020-08-22.
Premier Physician Services's current location address is 14 Vanderventer Ave.suite 138, Port Washington, New York. You can contact this provider via phone number 5168833383 and fax number 5168835812. The mailing address for Premier Physician Services is 14 Vanderventer Ave.suite 138, Port Washington, New York. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Premier Physician Services |
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Address | 14 Vanderventer Ave.suite 138, Port Washington, New York |
Phone Number | 5168833383 |
Fax Number | 5168835812 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Shen T Joseph |
Credentials | M.D. |
Telephone Number | 5168833383 |
NPI Number Detail
NPI Number | 1427188473 |
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Provider Enumeration Date | 2007-03-07 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 14 Vanderventer Ave.suite 138 |
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City | Port Washington |
State | New York (NY) |
Post Code | 11050 |
Phone Number | 5168833383 |
Fax Number | 5168835812 |
Provider's Primary Taxonomy Detail
Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
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Taxonomy | 204C00000X |
Licence No | 187122-1 |
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
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What is the unique 10-digit identification code assigned to Premier Physician Services by the Centers for Medicare & Medicaid Services?
The Premier Physician Services has been issued the NPI (National Provider Identifier) 1427188473, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Premier Physician Services is geographically located?
The Premier Physician Services is physically situated at the following location: 14 Vanderventer Ave.Suite 138, Port Washington, NY, 11050.
What is Premier Physician Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Premier Physician Services's area of specialization is Neuromusculoskeletal Medicine, Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 204C00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1427188473 to Premier Physician Services?
The Premier Physician Services received its 1427188473 assignment from the Centers for Medicare & Medicaid Services on 2007-03-07.
When was the information pertaining to Premier Physician Services most recently updated or revised?
The details related to Premier Physician Services, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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