Provider Demographics
NPI:1083318000
Name:EMK QUALITY CARE INC
Entity Type:Organization
Organization Name:EMK QUALITY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:BEREZNY JR
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHYSICIAN ASSISTANT
Authorized Official - Phone:631-830-4065
Mailing Address - Street 1:185 OLD COUNTRY RD STE 7
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-2121
Mailing Address - Country:US
Mailing Address - Phone:631-830-4065
Mailing Address - Fax:631-830-4256
Practice Address - Street 1:185 OLD COUNTRY RD STE 7
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2121
Practice Address - Country:US
Practice Address - Phone:631-830-4065
Practice Address - Fax:631-830-4256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care