MEDICARE: AM ROYAL INC

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	347C00000X	Private Vehicle
2	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1710752167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AM ROYAL INC

Provider Business Mailing Address
First Line	:	50 ALVERSON LOOP
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-1747
Country	:	US
Telephone Number	:	646-599-2407
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 ALVERSON LOOP
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-1747
Country	:	US
Telephone Number	:	646-599-2407
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANI MNATSAKANYAN
Credential	:
Telephone Number	:	646-599-2407

Provider Enumeration Date	:	11/15/2023
Last Update Date	:	07/11/2024

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Directions to “AM ROYAL INC ” Practice Location

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