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NPI Code Detail

MEDICARE: A.AMERIMED PHYSICIAN, P.C.

MEDICARE: A.AMERIMED PHYSICIAN, P.C.
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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558368183
Entity Type Code : Organization
Provider Name (Legal Business Name) : A.AMERIMED PHYSICIAN, P.C.
Provider Business Mailing Address
First Line : 200 W 58TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10019-1432
Country : US
Telephone Number : 212-757-7010
Fax Number : 212-245-2067
Provider Business Practice Location Address
First Line : 6860 AUSTIN ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4220
Country : US
Telephone Number : 718-997-7100
Fax Number : 718-997-7499
Authorized Official
Title or Position : CEO/PRESIDENT
Name : DR. PINKAS E. LEBOVITS
Credential : M.D.
Telephone Number : 212-757-7010
Provider Enumeration Date : 06/28/2005
Last Update Date : 10/19/2010

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