Healthcare Provider Details

I. General information

NPI: 1518070028
Provider Name (Legal Business Name): AVEX MEDICAL MANAGEMENT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 AVENUE X
BROOKLYN NY
11223
US

IV. Provider business mailing address

400 AVENUE X
BROOKLYN NY
11223
US

V. Phone/Fax

Practice location:
  • Phone: 718-376-6500
  • Fax: 718-376-5078
Mailing address:
  • Phone: 718-376-6500
  • Fax: 718-376-5078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LEV J PAUKMAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 718-376-6500