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Contact Information

ADVANCE PROFESSIONAL MEDICAL PC
408 JAY ST STE 301
BROOKLYN, NY11201-5150
 Phone: 718-646-6434
 Fax: 718-360-2279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ADVANCE PROFESSIONAL MEDICAL PC

NPI Number 1467724666
LBN Legal business name ADVANCE PROFESSIONAL MEDICAL PC
Authorized official MICHAEL AMOASHIY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2012
Last updated 02/02/2012 - About 14 years ago
Identifiers
NY License # 211960
NY Medicaid 01877632
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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