Healthcare Provider Details
I. General information
NPI: 1497040109
Provider Name (Legal Business Name): AAR MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2011
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
280 E 161ST ST
BRONX NY
10451-3521
US
IV. Provider business mailing address
280 E 161ST ST
BRONX NY
10451-3521
US
V. Phone/Fax
- Phone: 718-393-5566
- Fax: 917-259-7777
- Phone: 718-393-5566
- Fax: 917-259-7777
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207K00000X |
| Taxonomy | Allergy & Immunology Physician |
| License Number | 263161 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QS1201X |
| Taxonomy | Sleep Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 206049 |
| License Number State | NY |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 192569 |
| License Number State | NY |
VIII. Authorized Official
Name:
PRABHAT
SONI
Title or Position: PRESIDENT
Credential: MD
Phone: 718-975-4334