Advanced Internal Medicine, P.C.
Internal Medicine in Great Neck, NY. Organization (NPI-2).
NPI number1467709451
StatusActive
Last updated in NPPESNov 28, 2018
Details
- NPI
- 1467709451
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Internal Medicine, P.C.
- Organization subpart
- No
- Enumeration date
- Aug 8, 2012
- Last updated
- Nov 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 236142 | NY | Yes |
Practice location
935 Northern Blvd Ste 105Great Neck, NY 11021-5309
Phone 516-487-0070 · Fax 516-487-0072
Mailing address
130 Gristmill LnGreat Neck, NY 11023-1839
Phone 516-455-7017
Authorized official
Shahram Daniel Shamekh
President/Ceo
5164557017
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