Healthcare Provider Details

I. General information

NPI: 1699978627
Provider Name (Legal Business Name): AUSTIN MEDICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7010 AUSTIN ST SUITE 101
FOREST HILLS NY
11375-4763
US

IV. Provider business mailing address

7010 AUSTIN ST SUITE 101
FOREST HILLS NY
11375-4763
US

V. Phone/Fax

Practice location:
  • Phone: 718-830-9500
  • Fax: 718-793-8407
Mailing address:
  • Phone: 718-830-9500
  • Fax: 718-793-8407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number165028
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number165028
License Number StateNY

VIII. Authorized Official

Name: DAVID J. SOSNOWIK
Title or Position: PHYSICIAN
Credential: MD
Phone: 718-830-9500