Provider Demographics
NPI:1447280763
Name:SATELLITE SERVICES INC.
Entity type:Organization
Organization Name:SATELLITE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBLUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-756-8065
Mailing Address - Street 1:1326 PRESIDENT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-4238
Mailing Address - Country:US
Mailing Address - Phone:718-471-0700
Mailing Address - Fax:718-471-0055
Practice Address - Street 1:1326 PRESIDENT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-4238
Practice Address - Country:US
Practice Address - Phone:718-471-0700
Practice Address - Fax:718-471-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7001297R261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02172049Medicaid
NYWEL531Medicare ID - Type UnspecifiedEMPIRE MEDICARE
NY06062Medicare ID - Type UnspecifiedGHI MEDICARE
NY06062Medicare UPIN