1467724666

Everything you always wanted to know about ADVANCE PROFESSIONAL MEDICAL PC DR. AMOASHIY MICHAEL but were afraid to ask.

ADVANCE PROFESSIONAL MEDICAL PC DR. AMOASHIY MICHAEL

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Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official First Name
ADVANCE PROFESSIONAL MEDICAL PC DR. AMOASHIY MICHAEL
Gender:
none
Enumeration date:
2012-02-02
Last update date:
2012-02-02
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state
01877632 Medicaid none NY
92Z501 Medicare PIN none NY

Taxonomies

Taxonomy State License Number Primary?
208100000X Physical Medicine & Rehabilitation NY 211960 Y

Phone Numbers

Type Number
Authorized Official Telephone Number 7186456434
Mailing Address Fax Number 7183602279
Practice Location Address Fax Number 7183602279
Mailing Address Telephone Number 7186466434
Practice Location Address Telephone Number 7186466434

Addresses

Type Address City State Postal Country
Mailing Address 408 JAY ST STE 301 BROOKLYN NY 11201 NY
Practice Location Address 408 JAY ST STE 301 BROOKLYN NY 11201 NY

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Other NPI Records that share an identifier

NPI Name Address State City Identifier types that matches
1073564324 MILLENNIUM MEDICAL P.C.
Organization
2165 71ST ST NY BROOKLYN Identifier: 01877632 (Medicaid)
1144590498 PROFESSIONAL MEDICAL HEALTHCAR
Organization
5911 16TH AVE NY BROOKLYN Identifier: 01877632 (Medicaid)
Identifier: 92Z501 (Medicare PIN)
1346354982 AMOASHIY, MICHAEL
Individual
408 JAY ST NY BROOKLYN Identifier: 01877632 (Medicaid)