Healthcare Provider Details

I. General information

NPI: 1619387214
Provider Name (Legal Business Name): NEW YORK MEDICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2014
Last Update Date: 05/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 YAMATO RD SUITE 1100
BOCA RATON FL
33431-4917
US

IV. Provider business mailing address

301 YAMATO RD SUITE 1100
BOCA RATON FL
33431-4917
US

V. Phone/Fax

Practice location:
  • Phone: 855-200-8262
  • Fax: 855-400-8262
Mailing address:
  • Phone: 855-200-8262
  • Fax: 855-400-8262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number107377
License Number StateFL

VIII. Authorized Official

Name: DR. BRADLEY JASON ARTEL
Title or Position: PRESIDENT
Credential: MD
Phone: 855-200-8262