Healthcare Provider Details

I. General information

NPI: 1548535271
Provider Name (Legal Business Name): INSTANT MEDICAL CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2012
Last Update Date: 04/05/2021
Certification Date: 04/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808A HICKSVILLE RD
MASSAPEQUA NY
11758-1262
US

IV. Provider business mailing address

PO BOX 247
GLEN OAKS NY
11004-0247
US

V. Phone/Fax

Practice location:
  • Phone: 516-591-4242
  • Fax: 516-597-4243
Mailing address:
  • Phone: 516-775-8605
  • Fax: 516-517-9515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number246616
License Number StateNY

VIII. Authorized Official

Name: DR. INDERPAL CHHABRA
Title or Position: OWNER
Credential: M.D.
Phone: 718-755-3577