Provider Demographics
NPI:1275603219
Name:DOCTORS MEDICAL CARE, P.C.
Entity Type:Organization
Organization Name:DOCTORS MEDICAL CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:GORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-699-9737
Mailing Address - Street 1:9406 59TH AVE
Mailing Address - Street 2:SUITE E 9
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-5151
Mailing Address - Country:US
Mailing Address - Phone:718-699-9737
Mailing Address - Fax:718-699-4361
Practice Address - Street 1:9406 59TH AVE
Practice Address - Street 2:SUITE E 9
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5151
Practice Address - Country:US
Practice Address - Phone:718-699-9737
Practice Address - Fax:718-699-4361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01038191Medicaid
NY01038182Medicaid
NYA65082Medicare UPIN
NY01038182Medicaid
NYG100000112Medicare PIN
NY01038191Medicaid