Provider Demographics
NPI:1962421768
Name:MEDICAL HEALTH CARE ASSOCIATES, P.C.
Entity type:Organization
Organization Name:MEDICAL HEALTH CARE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:CANDYCE
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-423-9527
Mailing Address - Street 1:3523 CLEARVIEW EXPY
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-1322
Mailing Address - Country:US
Mailing Address - Phone:718-423-9527
Mailing Address - Fax:
Practice Address - Street 1:3523 CLEARVIEW EXPY
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-1322
Practice Address - Country:US
Practice Address - Phone:718-423-9527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144745174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD75018Medicare UPIN
NYW5K421Medicare PIN
NYC11342Medicare UPIN
NY50902Medicare PIN