Organization · NPI-2
Advantage Health Care, LLC
Internal Medicine · Islandia, NY
NPI number1003040759
StatusActive
Last updated in NPPESMay 11, 2009
Details
- NPI
- 1003040759
- Entity type
- Organization (NPI-2)
- Legal business name
- Advantage Health Care, LLC
- Organization subpart
- No
- Enumeration date
- May 11, 2009
- Last updated
- May 11, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 160056 | NY | Yes |
| 207R00000X | Internal Medicine | 222186 | NY | |
| 208100000X | Physical Medicine & Rehabilitation | 197663 | NY | |
| 363A00000X | Physician Assistant | 006795 | NY |
Practice location
3001 Expressway Dr NSte 200c
Islandia, NY 11749-5301
Phone 631-435-4358 · Fax 631-435-4583
Mailing address
3001 Expressway Dr NSte 200c
Islandia, NY 11749-5301
Phone 631-435-4358 · Fax 631-435-4583
Authorized official
Wei Kao
Owner
6314354358
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