Provider Demographics
NPI:1942661236
Name:MY CARE MEDICAL SERVICES PC
Entity Type:Organization
Organization Name:MY CARE MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHEHLA
Authorized Official - Middle Name:YASMEEN
Authorized Official - Last Name:NAQVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-528-7337
Mailing Address - Street 1:101 WATERSIDE PROFESSIONAL PARK
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PUTNAM VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10579-3502
Mailing Address - Country:US
Mailing Address - Phone:914-528-7337
Mailing Address - Fax:914-528-1831
Practice Address - Street 1:101 WATERSIDE PROFESSIONAL PARK
Practice Address - Street 2:SUITE 1
Practice Address - City:PUTNAM VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10579-3502
Practice Address - Country:US
Practice Address - Phone:914-528-7337
Practice Address - Fax:914-528-1831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196407174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty