Provider Demographics
NPI:1790852259
Name:QSAC, INC.
Entity Type:Organization
Organization Name:QSAC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAFFEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-244-5560
Mailing Address - Street 1:253 W 35TH ST
Mailing Address - Street 2:16TH. FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-1907
Mailing Address - Country:US
Mailing Address - Phone:212-244-5560
Mailing Address - Fax:212-244-5561
Practice Address - Street 1:11860 SPRINGFIELD BLVD
Practice Address - Street 2:
Practice Address - City:ST. ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11411-1927
Practice Address - Country:US
Practice Address - Phone:718-728-8476
Practice Address - Fax:718-712-6405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251B00000X, 252Y00000X
310500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
No251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency