=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700380888
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALBERT AVANY MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2018
-----------------------------------------------------
Last Update Date | 11/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2960 OCEAN AVE STE 3
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11235-3286
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-308-2378
-----------------------------------------------------
Fax | 718-228-2559
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2960 OCEAN AVE STE 3
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11235-3286
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-308-2378
-----------------------------------------------------
Fax | 718-228-2559
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number | 317760
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------