Provider Demographics
NPI:1699471953
Name:CC MEDICAL SERVICES P C
Entity type:Organization
Organization Name:CC MEDICAL SERVICES P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CALAPAI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-794-0404
Mailing Address - Street 1:1101 STEWART AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4808
Mailing Address - Country:US
Mailing Address - Phone:516-449-5386
Mailing Address - Fax:
Practice Address - Street 1:1101 STEWART AVE STE 201
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4808
Practice Address - Country:US
Practice Address - Phone:516-794-0404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY172127OtherDO