Healthcare Provider Details

I. General information

NPI: 1063493971
Provider Name (Legal Business Name): QUALITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22005 94TH DR
QUEENS VILLAGE NY
11428-2105
US

IV. Provider business mailing address

22005 94TH DR
QUEENS VILLAGE NY
11428-2105
US

V. Phone/Fax

Practice location:
  • Phone: 718-465-3265
  • Fax:
Mailing address:
  • Phone: 718-465-3265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number32454
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number32454
License Number StateNY

VIII. Authorized Official

Name: DR. NORMAN H KLEIN
Title or Position: OWNER/CEO
Credential: D.D.S.
Phone: 718-465-3265