Provider Demographics
NPI:1740225515
Name:QUEST MEDICAL PC
Entity Type:Organization
Organization Name:QUEST MEDICAL PC
Other - Org Name:MONTAGUE PAIN MANAGEMENT & PHYSICAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING EMPLOYEE
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:H
Authorized Official - Last Name:BEDEWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-870-4590
Mailing Address - Street 1:PO BOX 2215
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10101-2215
Mailing Address - Country:US
Mailing Address - Phone:877-870-4590
Mailing Address - Fax:718-237-8938
Practice Address - Street 1:164 W 79TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6439
Practice Address - Country:US
Practice Address - Phone:877-870-4590
Practice Address - Fax:718-237-8938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty