Provider Demographics
NPI:1437927092
Name:GARA MEDICAL CARE PC
Entity Type:Organization
Organization Name:GARA MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RADHA
Authorized Official - Middle Name:K
Authorized Official - Last Name:GARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-419-4288
Mailing Address - Street 1:PO BOX 61746
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-7746
Mailing Address - Country:US
Mailing Address - Phone:718-419-4288
Mailing Address - Fax:
Practice Address - Street 1:615 SENECA AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-2170
Practice Address - Country:US
Practice Address - Phone:718-497-9760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center