Healthcare Provider Details

I. General information

NPI: 1487045084
Provider Name (Legal Business Name): 2000 MEDICAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2015
Last Update Date: 02/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MAPLE HILL ST # STTE101
YORKTOWN HEIGHTS NY
10598-4176
US

IV. Provider business mailing address

2328 10TH AVE N STE 302
LAKE WORTH FL
33461-6612
US

V. Phone/Fax

Practice location:
  • Phone: 914-962-5101
  • Fax:
Mailing address:
  • Phone: 561-318-4455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JAMES STOKES
Title or Position: CEO
Credential:
Phone: 561-318-4455