MEDICARE: STRACAR MEDICAL SERVICES, P.C.

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	174400000X	Specialist	190157	NY

General Provider Information

NPI Number	:	1649466129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRACAR MEDICAL SERVICES, P.C.

Provider Business Mailing Address
First Line	:	9205 ROCKAWAY BLVD
Second Line	:	1ST FLOOR
City	:	OZONE PARK
State	:	NY
Zip	:	11417-2428
Country	:	US
Telephone Number	:	718-925-9797
Fax Number	:	718-925-9696

Provider Business Practice Location Address
First Line	:	9205 ROCKAWAY BLVD
Second Line	:	1ST FLOOR
City	:	OZONE PARK
State	:	NY
Zip	:	11417-2428
Country	:	US
Telephone Number	:	718-925-9797
Fax Number	:	718-925-9696

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. EMIL STRACAR
Credential	:	M.D.
Telephone Number	:	718-925-9797

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	09/19/2007

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