Provider Demographics
NPI:1194005991
Name:CENTURY MEDICAL CARE, PC
Entity Type:Organization
Organization Name:CENTURY MEDICAL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:RIBOTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-258-7405
Mailing Address - Street 1:9841 64TH RD
Mailing Address - Street 2:APT 7G
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3446
Mailing Address - Country:US
Mailing Address - Phone:646-258-7405
Mailing Address - Fax:
Practice Address - Street 1:9917 63 ROAD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1939
Practice Address - Country:US
Practice Address - Phone:718-275-4848
Practice Address - Fax:718-676-2558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes209800000XAllopathic & Osteopathic PhysiciansLegal MedicineGroup - Multi-Specialty