Healthcare Provider Details

I. General information

NPI: 1346562345
Provider Name (Legal Business Name): AMAR LAL PUROHIT, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2010
Last Update Date: 02/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 E 76TH ST # 1J
NEW YORK NY
10021-2810
US

IV. Provider business mailing address

630 1ST AVE APT 33H
NEW YORK NY
10016-4234
US

V. Phone/Fax

Practice location:
  • Phone: 212-861-0532
  • Fax: 212-861-3466
Mailing address:
  • Phone: 212-861-0532
  • Fax: 212-861-3466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number113710
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number113710
License Number StateNY

VIII. Authorized Official

Name: DR. AMAR LAL PUROHIT
Title or Position: CHAIRMAN, CEO
Credential: MD
Phone: 212-861-0532