Provider Demographics
NPI:1588716328
Name:QUAKERHILL HEALTHCARE MANAGEMENT, INC
Entity type:Organization
Organization Name:QUAKERHILL HEALTHCARE MANAGEMENT, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GALAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-225-0058
Mailing Address - Street 1:2 HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-3981
Mailing Address - Country:US
Mailing Address - Phone:917-225-0058
Mailing Address - Fax:
Practice Address - Street 1:2 HIGHLAND BLVD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-3981
Practice Address - Country:US
Practice Address - Phone:917-225-0058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG00614Medicare ID - Type Unspecified