Healthcare Provider Details
I. General information
NPI: 1326093071
Provider Name (Legal Business Name): ART OF HEALING MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2006
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2965 OCEAN PKWY STE 5A
BROOKLYN NY
11235-8024
US
IV. Provider business mailing address
2965 OCEAN PKWY STE 5A
BROOKLYN NY
11235-8024
US
V. Phone/Fax
- Phone: 718-680-1600
- Fax: 718-680-4473
- Phone: 718-680-1600
- Fax: 718-680-4473
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208800000X |
| Taxonomy | Urology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALEXANDER
PINKUSOVICH
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 718-680-1600