Provider Demographics
NPI:1407523434
Name:STRACAR MEDICAL SERVICES, P.C.
Entity type:Organization
Organization Name:STRACAR MEDICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:STRACAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-684-2430
Mailing Address - Street 1:2050 EASTCHESTER RD STE 203
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2203
Mailing Address - Country:US
Mailing Address - Phone:718-684-2430
Mailing Address - Fax:
Practice Address - Street 1:2050 EASTCHESTER RD STE 203
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2203
Practice Address - Country:US
Practice Address - Phone:646-344-2876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY190157OtherMEDICAL LICENSE