Organization · NPI-2
Active Medical Care PC
Anesthesiology · Pearl River, NY
NPI number1154813137
StatusActive
Last updated in NPPESNov 12, 2018
Details
- NPI
- 1154813137
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Medical Care PC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2018
- Last updated
- Nov 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – | |
| 2083T0002X | Preventive Medicine, Medical Toxicology | – | – | |
| 208VP0000X | – | – |
Practice location
275 N Middletown Rd Ste 1fPearl River, NY 10965
Phone 914-376-6100 · Fax 914-231-6872
Mailing address
275 N Middletown Rd Ste 1fPearl River, NY 10965-1189
Phone 914-376-6100 · Fax 914-231-6872
Authorized official
Ednan S Sheik
Owner
2155935484
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