MEDICARE: Q.S.A SERVICES INC.

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	324500000X	Substance Abuse Rehabilitation Facility	090111491	NY

General Provider Information

NPI Number	:	1104923291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Q.S.A SERVICES INC.

Provider Business Mailing Address
First Line	:	3501 QUEENS BLVD
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-1700
Country	:	US
Telephone Number	:	718-729-8686
Fax Number	:	718-729-8008

Provider Business Practice Location Address
First Line	:	3501 QUEENS BLVD
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-1700
Country	:	US
Telephone Number	:	718-729-8686
Fax Number	:	718-729-8008

Authorized Official
Title or Position	:	CFO
Name	:	ZEEV BANNETT
Credential	:
Telephone Number	:	908-705-4902

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/21/2026

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