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General NPI Number Information
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NPI Number | 1609067065
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Entity Type | Organization
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Legal Business Name | MEDICHECK GROUP INC.,
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 1602 SAINT NICHOLAS AVE
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City | NEW YORK
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State | NY
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Zip | 10040-3311
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Country | US
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Telephone | 212-795-4544
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Fax |
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Provider Business Mailing Address
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Address Line | 1602 SAINT NICHOLAS AVE
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City | NEW YORK
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State | NY
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Zip | 10040-3311
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Country | US
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Telephone | 212-795-4544
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ATUL K AGARWALA
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Credential | MD.,
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Telephone | 212-795-4544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MA61586
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | NY
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