Provider Demographics
NPI:1306685250
Name:PRECISE HEALTH GROUP LLC
Entity type:Organization
Organization Name:PRECISE HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUJOY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALAPPANJOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-718-4370
Mailing Address - Street 1:811 N BROADWAY STE 102
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-2407
Mailing Address - Country:US
Mailing Address - Phone:732-718-4370
Mailing Address - Fax:
Practice Address - Street 1:811 N BROADWAY STE 102
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-2407
Practice Address - Country:US
Practice Address - Phone:732-718-4370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy