Healthcare Provider Details

I. General information

NPI: 1356348981
Provider Name (Legal Business Name): A.AMERIMED PHYSICIAN, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 03/10/2021
Certification Date: 03/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WEST 58TH ST SUITE 1C
NEW YORK NY
10019
US

IV. Provider business mailing address

200 W 58TH ST
NEW YORK NY
10019-1432
US

V. Phone/Fax

Practice location:
  • Phone: 718-339-4000
  • Fax: 718-339-7203
Mailing address:
  • Phone: 212-757-7010
  • Fax: 212-245-2067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. PINKAS E LEBOVITS
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 212-757-7010