Personal Quality Care Manual PT

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

016625 Issued in NY

Legal business name

PERSONAL QUALITY CARE MANUAL PT

Practice address

58 Valley Greens Dr
Valley Stream, NY 11581-3635

Phone

(917) 748-9332

NPI assigned

Aug 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raynat Glaz

Title

President

Phone

(917) 748-9332

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1972881209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 VALLEY GREENS DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 VALLEY GREENS DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813635",
            "telephone_number": "917-748-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL QUALITY CARE MANUAL PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "GLAZ",
        "authorized_official_first_name": "RAYNAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-748-9332"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "016625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aquaya S Perry, MHC
• Jennifer Shakuntala Persad, NP
• Minera Devi Persaud
• Shane Anand Persaud, PHARMD
• Valerie R Persaud, DDS
• Tulsa Peters, LMHC, LPC
• Regine Delcarmel Petigny, LMSW
• Oleg Petrogalis
• David Pfeffer, DDS
• PGR Gastro LLC

• Early Intervention Provider Agency in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.