Provider Demographics
NPI:1518234061
Name:MEDFIRST INC
Entity Type:Organization
Organization Name:MEDFIRST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:MENDOZA
Authorized Official - Last Name:NUGUID
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-513-6390
Mailing Address - Street 1:1532 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3930
Mailing Address - Country:US
Mailing Address - Phone:718-513-6390
Mailing Address - Fax:718-513-6391
Practice Address - Street 1:1532 E 54TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3930
Practice Address - Country:US
Practice Address - Phone:718-513-6390
Practice Address - Fax:718-513-6391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty