Provider Demographics
NPI:1902236433
Name:SAFE MEDICAL CARE, PLLC.
Entity Type:Organization
Organization Name:SAFE MEDICAL CARE, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:WAHID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-726-7301
Mailing Address - Street 1:6574 SAUNDERS ST
Mailing Address - Street 2:6E
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4254
Mailing Address - Country:US
Mailing Address - Phone:646-726-7301
Mailing Address - Fax:
Practice Address - Street 1:9747 77TH ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-1902
Practice Address - Country:US
Practice Address - Phone:646-726-7301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258061261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center