Provider Demographics
NPI:1992023691
Name:MEDICAL CARE AT HOME, PC
Entity Type:Organization
Organization Name:MEDICAL CARE AT HOME, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:WEBSTER
Authorized Official - Last Name:CHRISTIANSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-397-2002
Mailing Address - Street 1:61-10 QUEENS BOULEVARD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-5771
Mailing Address - Country:US
Mailing Address - Phone:718-397-2002
Mailing Address - Fax:646-524-8323
Practice Address - Street 1:61-10 QUEENS BOULEVARD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-5771
Practice Address - Country:US
Practice Address - Phone:718-397-2002
Practice Address - Fax:646-524-8323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty