Provider Demographics
NPI:1225762578
Name:QUAN MEDICAL PLLC
Entity Type:Organization
Organization Name:QUAN MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LAM
Authorized Official - Middle Name:
Authorized Official - Last Name:QUAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-670-3530
Mailing Address - Street 1:91 N FRANKLIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3003
Mailing Address - Country:US
Mailing Address - Phone:516-898-7676
Mailing Address - Fax:516-898-7677
Practice Address - Street 1:91 N FRANKLIN ST STE 101
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3003
Practice Address - Country:US
Practice Address - Phone:516-898-7676
Practice Address - Fax:516-898-7677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty