Provider Demographics
NPI:1730454083
Name:PARCARE COMMUNITY HEALTH NETWORK INC
Entity type:Organization
Organization Name:PARCARE COMMUNITY HEALTH NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-963-0800
Mailing Address - Street 1:445 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-2735
Mailing Address - Country:US
Mailing Address - Phone:718-963-0800
Mailing Address - Fax:718-831-2763
Practice Address - Street 1:445 PARK AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205
Practice Address - Country:US
Practice Address - Phone:718-963-0800
Practice Address - Fax:718-831-2763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03970367Medicaid