Provider Demographics
NPI:1114116266
Name:HEALTH CARE MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:HEALTH CARE MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:PREETHI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINCHOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-426-5500
Mailing Address - Street 1:2 PERLMAN DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5245
Mailing Address - Country:US
Mailing Address - Phone:845-426-5500
Mailing Address - Fax:845-426-2830
Practice Address - Street 1:2 PERLMAN DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5245
Practice Address - Country:US
Practice Address - Phone:845-426-5500
Practice Address - Fax:845-426-2830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1379171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW0Z801Medicare PIN