1508019191 NPI number — AVS ARTHRITIS & ASSOCIATES PC

Table of content: (NPI 1508019191)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508019191 NPI number — AVS ARTHRITIS & ASSOCIATES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AVS ARTHRITIS & ASSOCIATES PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508019191
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/12/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3184 GRAND CONCOURSE
Provider Second Line Business Mailing Address:
SUITE 2A
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10458-1007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
347-271-8903
Provider Business Mailing Address Fax Number:
347-271-8906

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3184 GRAND CONCOURSE AVE
Provider Second Line Business Practice Location Address:
SUITE 2A
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10458-1007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-271-8903
Provider Business Practice Location Address Fax Number:
347-271-8906
Provider Enumeration Date:
10/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
PATEL
Authorized Official First Name:
VINITA
Authorized Official Middle Name:
Authorized Official Title or Position:
ATTENDING- RHEUMATOLOGIST
Authorized Official Telephone Number:
347-271-8903

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X , with the licence number:  239644 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 11303 . This is a "MAGNACARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2928242 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 60054 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 03023723 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10029282401 . This is a "AMERICHOICE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1154594646 . This is a "EMBLEMHEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 90106000079 . This is a "FIDELIS CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 238644NO2 . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 833AA1 . This is a "EMPIRE BLUE CROSS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P3947871 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4874623 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: SEIU134524 . This is a "1199" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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