OrganizationActive
Premier Physician Services
NPI 1427188473 · Medical Toxicology (Preventive Medicine) Physician · Port Washington, NY
Provider details
- NPI number
- 1427188473
- Entity type
- Organization
- Primary specialty
- Medical Toxicology (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Joseph Shen, President
- License
- 171781 (NY)
Practice location
14 Vanderventer Ave Ste 138
Suite 130-138
Port Washington, NY 11050-3737
Phone: (516) 883-3383
Fax: (516) 883-5812
Mailing address
14 Vanderventer Ave.suite 138
Port Washington, NY 11050
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.