Healthcare Provider Details

I. General information

NPI: 1578767315
Provider Name (Legal Business Name): NEW YORK MEDICAL CARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11615 QUEENS BLVD
FOREST HILLS NY
11375-6533
US

IV. Provider business mailing address

11615 QUEENS BLVD
FOREST HILLS NY
11375-6533
US

V. Phone/Fax

Practice location:
  • Phone: 718-575-0303
  • Fax: 718-544-5475
Mailing address:
  • Phone: 718-575-0303
  • Fax: 718-544-5475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: PHILIPP L HOROWITZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 718-575-0303