Provider Demographics
NPI:1760043210
Name:HKS MEDICAL SERVICES PC
Entity Type:Organization
Organization Name:HKS MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HERTZEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:SURE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-362-8184
Mailing Address - Street 1:9425 60TH AVE
Mailing Address - Street 2:SUITE B4
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-5069
Mailing Address - Country:US
Mailing Address - Phone:718-760-0797
Mailing Address - Fax:718-760-5552
Practice Address - Street 1:9425 60TH AVE STE B4
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5069
Practice Address - Country:US
Practice Address - Phone:718-362-8182
Practice Address - Fax:718-414-1651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty