Quality Medical Management Corp
NPI #1114502606 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1114502606
- Entity Type
- Organization
- Organization Name
- Quality Medical Management Corp
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Mar 16, 2021
- Last Updated
- Mar 25, 2021
Practice Location
- Address
- 1110 HALLOCK AVE
- State
- New York
- ZIP Code
- 11776-1210
- Phone
- (631) 476-9100
Authorized Official
- Name
- MIKE REENS
- Title
- AUTHORIZED OFFICIAL
- Phone
- (631) 446-1190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
| Nurse Anesthetist, Certified Registered |
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