Provider Demographics
NPI:1558188375
Name:CENTURY MEDICAL SERVICES P.C.
Entity type:Organization
Organization Name:CENTURY MEDICAL SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ZAIN
Authorized Official - Middle Name:IQBAL
Authorized Official - Last Name:MEMON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:646-348-0255
Mailing Address - Street 1:7064 YELLOWSTONE BLVD STE D1
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3564
Mailing Address - Country:US
Mailing Address - Phone:347-783-1818
Mailing Address - Fax:833-970-0974
Practice Address - Street 1:7064 YELLOWSTONE BLVD STE D1
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3564
Practice Address - Country:US
Practice Address - Phone:347-783-1818
Practice Address - Fax:833-970-0974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty