Provider Demographics
NPI:1457222564
Name:PROXIMA SOLUTIONS INC
Entity type:Organization
Organization Name:PROXIMA SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GUERRECHON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATELAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-841-7744
Mailing Address - Street 1:112 SOUTHFIELD AVE APT 506
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-7665
Mailing Address - Country:US
Mailing Address - Phone:718-841-7744
Mailing Address - Fax:718-228-9549
Practice Address - Street 1:112 SOUTHFIELD AVE APT 506
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-7665
Practice Address - Country:US
Practice Address - Phone:718-841-7744
Practice Address - Fax:718-228-9549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care