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Contact Information

ACTIVE MEDICAL CARE PC
275 N MIDDLETOWN RD STE 1F
PEARL RIVER, NY10965
 Phone: 914-376-6100
 Fax: 914-231-6872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Medical Toxicology

2083T0002X 84 Physician/Preventive Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ACTIVE MEDICAL CARE PC · (Female)

NPI # 1154813137
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2018
Last updated 11/12/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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