- Practice location
- 571 Academy St, Gle, New York, NY 10034-5104
- Phone
- 212-567-0550
- Fax
- 212-567-6474
- Last updated
- May 14, 2012
Academy Medical Care PC is a healthcare organization based in New York, NY. Academy Medical Care PC practices in New York, NY. The NPI Number for Academy Medical Care PC is 1790809184 and holds a License No. 204704-1 (NY). The current practice location address for Academy Medical Care PC is 571 Academy St, Gle, New York, NY 10034-5104 and can be reached out via phone at 212-567-0550 and via fax at 212-567-6474.
Provider Profile Details
- NPI Number
- 1790809184
- Provider Name
- Academy Medical Care PC
- Provider Entity Type
- Organization
- Address
- 571 Academy St, Gle, New York, NY 10034-5104
- Phone Number
- 212-567-0550
- Fax Number
- 212-567-6474
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Ramon Tallaj, MD · Physician · 212-567-0550
- Provider Enumeration Date
- March 19, 2007
- Last Update Date
- May 14, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 571 Academy St
Gle
New York, NY 10034-5104 - City
- New York
- State
- New York
- Zip
- 10034-5104
- Phone Number
- 212-567-0550
- Fax Number
- 212-567-6474
Provider Business Mailing Address Details
- Address
- 571 Academy St
Gle
New York, NY 10034-5104 - City
- New York
- State
- NY
- Zip
- 10034-5104
- Phone Number
- 212-567-0550
- Fax Number
- 212-567-6474
License Information
- License Number
- 204704-1
- License State
- NY
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Academy Medical Care PC?
The NPI number of Academy Medical Care PC is 1790809184. It was assigned on March 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Academy Medical Care PC?
Academy Medical Care PC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 204704-1.
Where does Academy Medical Care PC practice?
The practice location is 571 Academy St, Gle, New York, NY 10034-5104. The office can be reached at 212-567-0550 (phone) or 212-567-6474 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790809184 directly on the NPPES registry website.