Provider Demographics
NPI:1700125051
Name:HEALTH QUEST MEDICAL PRACTICE
Entity Type:Organization
Organization Name:HEALTH QUEST MEDICAL PRACTICE
Other - Org Name:OBGYN FISHKILL
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:AGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-475-9661
Mailing Address - Street 1:1351 ROUTE 55 SUITE 200
Mailing Address - Street 2:
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-5108
Mailing Address - Country:US
Mailing Address - Phone:845-475-9661
Mailing Address - Fax:845-475-9938
Practice Address - Street 1:200 WESTAGE BUSINESS CENTER DRIVE
Practice Address - Street 2:SUITE 230
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2288
Practice Address - Country:US
Practice Address - Phone:845-896-9864
Practice Address - Fax:845-896-4319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty