Provider Demographics
NPI:1306078779
Name:A PERSONAL TOUCH GARMENT CORPORATION
Entity type:Organization
Organization Name:A PERSONAL TOUCH GARMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:MARINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-376-3737
Mailing Address - Street 1:PO BOX 632
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-0632
Mailing Address - Country:US
Mailing Address - Phone:631-376-3737
Mailing Address - Fax:631-376-3743
Practice Address - Street 1:1000 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4927
Practice Address - Country:US
Practice Address - Phone:631-376-3737
Practice Address - Fax:631-376-3743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
37498OtherVYTRA
5865130OtherAETNA
G71552OtherEMPIRE BC/BS
241458POtherHIP
ANC350OtherOXFORD
750OtherHEALTHCARE PARTNERS
=========OtherCIGNA
5865130OtherAETNA