Basic Information
Provider Information
NPI: 1104163641
EntityType: 2
ReplacementNPI:  
OrganizationName: QUALITY FIRST MEDICAL CARE PLLC
LastName:  
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Mailing Information
Address1: 6010 BAY PKWY
Address2: SUITE 901
City: BROOKLYN
State: NY
PostalCode: 112046079
CountryCode: US
TelephoneNumber: 7182382100
FaxNumber: 7187480863
Practice Location
Address1: 6010 BAY PKWY
Address2: SUITE 901
City: BROOKLYN
State: NY
PostalCode: 112046079
CountryCode: US
TelephoneNumber: 7187481200
FaxNumber: 7187480863
Other Information
ProviderEnumerationDate: 01/03/2013
LastUpdateDate: 09/14/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: ROSENSTOCK
AuthorizedOfficialFirstName: PAUL
AuthorizedOfficialMiddleName: R
AuthorizedOfficialTitleorPosition: MEDICAL DIRECTOR/CEO
AuthorizedOfficialTelephone: 7182382100
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QM1300X  N Ambulatory Health Care FacilitiesClinic/CenterMulti-Specialty
261QU0200X  Y Ambulatory Health Care FacilitiesClinic/CenterUrgent Care

No ID Information.


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