Healthcare Provider Details

I. General information

NPI: 1992249346
Provider Name (Legal Business Name): A.P. NEW YORK COMPREHENSIVE MEDICAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2016
Last Update Date: 12/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 SMITHTOWN BYP SUITE 200
SMITHTOWN NY
11787-5020
US

IV. Provider business mailing address

732 SMITHTOWN BYP SUITE 200
SMITHTOWN NY
11787-5020
US

V. Phone/Fax

Practice location:
  • Phone: 631-656-9040
  • Fax: 631-656-9030
Mailing address:
  • Phone: 631-656-9040
  • Fax: 631-656-9030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: ADALBERT PILIP
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 631-656-9040