Provider Demographics
NPI:1558435974
Name:CARE 4 U MEDICAL PC
Entity Type:Organization
Organization Name:CARE 4 U MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDRZEJ
Authorized Official - Middle Name:JOZEF
Authorized Official - Last Name:GACEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-897-0300
Mailing Address - Street 1:9876 QUEENS BLVD
Mailing Address - Street 2:SUITE 1K
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4356
Mailing Address - Country:US
Mailing Address - Phone:718-897-0300
Mailing Address - Fax:718-897-3330
Practice Address - Street 1:9876 QUEENS BLVD
Practice Address - Street 2:SUITE 1K
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4356
Practice Address - Country:US
Practice Address - Phone:718-897-0300
Practice Address - Fax:718-897-3330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238703208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02755746Medicaid
NYI53137Medicare UPIN
NY02755746Medicaid