NYS MEDICAL CARE P.C. NPI 1366105868

NPI Information

NPI: 1366105868
Provider Name: NYS MEDICAL CARE, P.C.
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
9218 165TH ST
JAMAICA, NY
ZIP 11433
Phone: (718) 725-0044
Get Directions

NYS MEDICAL CARE, P.C. is a rehabilitation clinic center in Jamaica, NY. NYS MEDICAL CARE, P.C. NPI is 1366105868. The provider is registered as an organization entity type.

The provider's business location address is:

9218 165TH ST
JAMAICA, NY
ZIP 11433-104
Phone: (718) 725-0044
Fax: (718) 725-0880

The provider's authorized official is Svetlana Fuzaylova .
The authorized official title is President and has the following contact phone number (718) 986-7774.

The enumeration date for this NPI number is 10/21/2021 and was last updated on 10/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01987957	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »