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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PREMIER PHYSICIAN SERVICES

Active Organization

PREMIER PHYSICIAN SERVICES is a 2083T0002X organization located in PORT WASHINGTON, New York. NPI 1427188473 is currently active in the NPPES registry. Verify at CMS.

2083T0002X · PORT WASHINGTON, NY

Registration Details

NPI Number
1427188473
Provider Type
Organization
NPI Issued
Mar 7, 2007 (19.483773784686 yrs)
Last Updated
Sep 11, 2025
Licenses
171781 (NY)
187122-1 (NY)
165520 (NY)
187122-1 (NY)
187122-1 (NY)

Practice Information

Address
14 VANDERVENTER AVE STE 138
SUITE 130-138
PORT WASHINGTON, NY, 110503737
Browse NY providers · Browse ZIP 11050
Phone
5168833383
Fax
5168835812
Primary Specialty
2083T0002X
2083T0002X
Additional Specialty
Cardiovascular Disease
Additional Specialty
Sports Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.