Provider Demographics
NPI:1215113543
Name:PERSONAL TOUCH PROVIDER SERVICES INC
Entity type:Organization
Organization Name:PERSONAL TOUCH PROVIDER SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-679-2241
Mailing Address - Street 1:1069 BELLMORE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5562
Mailing Address - Country:US
Mailing Address - Phone:516-679-2241
Mailing Address - Fax:516-679-0736
Practice Address - Street 1:1069 BELLMORE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5562
Practice Address - Country:US
Practice Address - Phone:516-679-2241
Practice Address - Fax:516-679-0736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health