Provider Demographics
NPI:1710132741
Name:NEW QUALITY MEDICAL. P.C
Entity Type:Organization
Organization Name:NEW QUALITY MEDICAL. P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:RATSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-462-2224
Mailing Address - Street 1:1928 BAY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6210
Mailing Address - Country:US
Mailing Address - Phone:347-462-2224
Mailing Address - Fax:347-462-2227
Practice Address - Street 1:8754 BAY 16TH STREET SUITE A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214
Practice Address - Country:US
Practice Address - Phone:347-462-2224
Practice Address - Fax:347-462-2227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223554207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02218073Medicaid
NY02218073Medicaid
NY042AY2Medicare PIN
NYA100016358Medicare PIN
NYH55824Medicare UPIN