MEDICARE: CONSULTANT MEDICAL CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1235008533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSULTANT MEDICAL CARE LLC

Provider Business Mailing Address
First Line	:	12 DEERWOOD RD
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-1001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 PHILIPS PKWY # 2B
Second Line	:
City	:	MONTVALE
State	:	NJ
Zip	:	07645-1877
Country	:	US
Telephone Number	:	212-516-2300
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	SETH KURTZ
Credential	:
Telephone Number	:	917-533-2983

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	11/11/2025

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