Provider Demographics
NPI:1437353083
Name:PATIENTS FIRST MEDICAL CARE, P.C.
Entity Type:Organization
Organization Name:PATIENTS FIRST MEDICAL CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COLL. ADMIN.
Authorized Official - Prefix:MS
Authorized Official - First Name:MARYELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-464-4444
Mailing Address - Street 1:21422 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2914
Mailing Address - Country:US
Mailing Address - Phone:718-464-4444
Mailing Address - Fax:718-465-1888
Practice Address - Street 1:21422 73RD AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-2914
Practice Address - Country:US
Practice Address - Phone:718-464-4444
Practice Address - Fax:718-465-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162617-1207Q00000X, 207QG0300X
NY221341-1207Q00000X
NY209886-1207RC0000X
NY152401-1207RC0000X
NY111713-1207RC0000X
NY177943-1207RC0000X
NY189088-1208100000X
NY2087372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0081493OtherGHI
NYW5D301Medicare PIN
NY81493Medicare PIN