Provider Demographics
NPI:1194739441
Name:QUALITY MEDICAL CARE, P.C.
Entity type:Organization
Organization Name:QUALITY MEDICAL CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / INTERNIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NODAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-523-9811
Mailing Address - Street 1:13844 QUEENS BLVD
Mailing Address - Street 2:1A
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-2653
Mailing Address - Country:US
Mailing Address - Phone:718-523-9811
Mailing Address - Fax:718-523-9823
Practice Address - Street 1:13844 QUEENS BLVD
Practice Address - Street 2:1A
Practice Address - City:BRIARWOOD
Practice Address - State:NY
Practice Address - Zip Code:11435-2653
Practice Address - Country:US
Practice Address - Phone:718-523-9811
Practice Address - Fax:718-523-9823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207106207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01755311Medicaid
NYG52052Medicare UPIN
NY02552GMedicare ID - Type Unspecified