Provider Demographics
NPI:1154753093
Name:NIGHTTIME MEDICAL CARE PC
Entity type:Organization
Organization Name:NIGHTTIME MEDICAL CARE PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:MOSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-816-6645
Mailing Address - Street 1:134-35 SPRINGFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:LAURELTON
Mailing Address - State:NY
Mailing Address - Zip Code:11413-1405
Mailing Address - Country:US
Mailing Address - Phone:516-316-9832
Mailing Address - Fax:718-740-1551
Practice Address - Street 1:13435 SPRINGFIELD BLVD
Practice Address - Street 2:
Practice Address - City:LAURELTON
Practice Address - State:NY
Practice Address - Zip Code:11413-1405
Practice Address - Country:US
Practice Address - Phone:516-316-9832
Practice Address - Fax:718-740-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care