Provider Demographics
NPI:1417599473
Name:ON CALL MEDICAL CARE PC
Entity Type:Organization
Organization Name:ON CALL MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:FENSTERSZAUB
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:646-358-0688
Mailing Address - Street 1:302 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2408
Mailing Address - Country:US
Mailing Address - Phone:201-321-0349
Mailing Address - Fax:
Practice Address - Street 1:372 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2439
Practice Address - Country:US
Practice Address - Phone:516-615-8586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty