MEDICARE: HEALTH QUEST MEDICAL PRACTICE, PC

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	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1538791553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH QUEST MEDICAL PRACTICE, PC

Provider Business Mailing Address
First Line	:	1351 ROUTE 55 STE 200
Second Line	:
City	:	LAGRANGEVILLE
State	:	NY
Zip	:	12540-5128
Country	:	US
Telephone Number	:	845-475-9661
Fax Number	:	845-475-9938

Provider Business Practice Location Address
First Line	:	822 ROUTE 82 STE 110
Second Line	:
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-7374
Country	:	US
Telephone Number	:	845-227-6947
Fax Number	:	845-592-4918

Authorized Official
Title or Position	:	VP FINANCE
Name	:	JOHN BERZINSKY
Credential	:
Telephone Number	:	845-475-9661

Provider Enumeration Date	:	02/07/2020
Last Update Date	:	02/14/2020

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