Provider Demographics
NPI:1528135506
Name:FIRST STOP MEDICAL CARE, P.C.
Entity type:Organization
Organization Name:FIRST STOP MEDICAL CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKESSINIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-452-2597
Mailing Address - Street 1:1971 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-5066
Mailing Address - Country:US
Mailing Address - Phone:518-452-2597
Mailing Address - Fax:518-452-4348
Practice Address - Street 1:1971 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-5066
Practice Address - Country:US
Practice Address - Phone:518-452-2597
Practice Address - Fax:518-452-4348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187608207Q00000X
NY111303207R00000X
NY164343207R00000X
NY159901207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC5813Medicare ID - Type Unspecified
NYF19785Medicare UPIN
NYE42291Medicare UPIN
NYB80888Medicare UPIN
NYDD3698Medicare ID - Type Unspecified
NY51891CMedicare ID - Type Unspecified
NYE28186Medicare UPIN
NYCC3422Medicare ID - Type Unspecified
NY51891AMedicare ID - Type Unspecified