Healthcare Provider Details
I. General information
NPI: 1225928625
Provider Name (Legal Business Name): MEDICAL CARE AK PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1735 YORK AVE STE PH
NEW YORK NY
10128-6855
US
IV. Provider business mailing address
1735 YORK AVE STE PH
NEW YORK NY
10128-6855
US
V. Phone/Fax
- Phone: 516-502-8400
- Fax:
- Phone: 516-502-8400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XS0117X |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MISS
DORIN
SARAH
LANFRANC
Title or Position: ADMINISTRATOR
Credential:
Phone: 516-502-8400