Healthcare Provider Details

I. General information

NPI: 1437353083
Provider Name (Legal Business Name): PATIENTS FIRST MEDICAL CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21422 73RD AVE
OAKLAND GARDENS NY
11364-2914
US

IV. Provider business mailing address

21422 73RD AVE
OAKLAND GARDENS NY
11364-2914
US

V. Phone/Fax

Practice location:
  • Phone: 718-464-4444
  • Fax: 718-465-1888
Mailing address:
  • Phone: 718-464-4444
  • Fax: 718-465-1888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number221341-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number162617-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number209886-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number152401-1
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number111713-1
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number177943-1
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number189088-1
License Number StateNY
# 8
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number208737
License Number StateNY
# 9
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number162617-1
License Number StateNY

VIII. Authorized Official

Name: MS. MARYELLEN SCARDINA
Title or Position: BILLING COLL. ADMIN.
Credential:
Phone: 718-464-4444