Provider Demographics
NPI:1376654012
Name:QK HEALTHCARE, INC.
Entity Type:Organization
Organization Name:QK HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:NUSSDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-439-2003
Mailing Address - Street 1:35 SAW GRASS DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-1548
Mailing Address - Country:US
Mailing Address - Phone:631-439-2027
Mailing Address - Fax:631-439-2008
Practice Address - Street 1:35 SAW GRASS DR
Practice Address - Street 2:SUITE 1
Practice Address - City:BELLPORT
Practice Address - State:NY
Practice Address - Zip Code:11713-1548
Practice Address - Country:US
Practice Address - Phone:631-439-2027
Practice Address - Fax:631-439-2008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY KING DISTRIBUTORS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024630332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies