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Contact Information

ADVANCED MULTICARE MEDICAL PC
25 VICTORY BLVD
2ND FLOOR
STATEN ISLAND, NY10301-2905
 Phone: 718-815-7246
 Fax: 516-706-1085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

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

NPI Profile & details for ADVANCED MULTICARE MEDICAL PC

NPI # 1093960676
LBN Legal business name ADVANCED MULTICARE MEDICAL PC
Authorized official MIKHAIL ARTAMONOV - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/24/2008
Last updated 11/24/2008 - About 18 years ago
Identifiers
NY License # 250059
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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