Provider Demographics
NPI:1144438417
Name:PROMEDCARE SOLUTIONS, INC
Entity type:Organization
Organization Name:PROMEDCARE SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, CLINICAL SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:RIOMAYOR
Authorized Official - Last Name:TOSCANO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:516-241-4527
Mailing Address - Street 1:239 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-2544
Mailing Address - Country:US
Mailing Address - Phone:516-241-4527
Mailing Address - Fax:516-742-3781
Practice Address - Street 1:239 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2544
Practice Address - Country:US
Practice Address - Phone:516-241-4527
Practice Address - Fax:516-742-3781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035563-11835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty