MEDICARE: NY MEDICAL HEALTH CARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1114960986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NY MEDICAL HEALTH CARE PC

Provider Business Mailing Address
First Line	:	6902 AUSTIN ST
Second Line	:	2ND FLOOR
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4250
Country	:	US
Telephone Number	:	718-793-6800
Fax Number	:	347-392-4179

Provider Business Practice Location Address
First Line	:	6902 AUSTIN ST
Second Line	:	2ND FLOOR
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4250
Country	:	US
Telephone Number	:	718-793-6800
Fax Number	:	347-392-4179

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BIJAN GOLYAN
Credential	:	MD
Telephone Number	:	718-793-6800

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	12/07/2015

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