- Practice location
- 61 E 86TH St, New York, NY 10028-1068
- Phone
- 646-862-7091
- Fax
- —
- Last updated
- April 10, 2016
Axoxa New Vitality Medical PC is a healthcare organization based in New York, NY. Axoxa New Vitality Medical PC practices in New York, NY. The NPI Number for Axoxa New Vitality Medical PC is 1841654480 and holds a License No. 249039 (NY). The current practice location address for Axoxa New Vitality Medical PC is 61 E 86TH St, New York, NY 10028-1068 and can be reached out via phone at 646-862-7091.
Provider Profile Details
- NPI Number
- 1841654480
- Provider Name
- Axoxa New Vitality Medical PC
- Provider Entity Type
- Organization
- Address
- 61 E 86TH St, New York, NY 10028-1068
- Phone Number
- 646-862-7091
- Primary Taxonomy
- Preventive Medicine, Public Health & General Preventive Medicine · 2083P0901X
- Organization Subpart
- No
- Authorized Official
- Dr. Juraj Lukac, MD · Director · 646-862-7091
- Provider Enumeration Date
- April 10, 2016
- Last Update Date
- April 10, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 61 E 86TH St
New York, NY 10028-1068 - City
- New York
- State
- New York
- Zip
- 10028-1068
- Phone Number
- 646-862-7091
Provider Business Mailing Address Details
- Address
- 37 Sherman Ave
Staten Island, NY 10301-2301 - City
- Staten Island
- State
- NY
- Zip
- 10301-2301
- Phone Number
- 347-857-0755
License Information
- License Number
- 249039
- License State
- NY
- Taxonomy
- Preventive Medicine, Public Health & General Preventive Medicine · 2083P0901X · 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 Axoxa New Vitality Medical PC?
The NPI number of Axoxa New Vitality Medical PC is 1841654480. It was assigned on April 10, 2016 and is currently active in the NPPES registry.
What is the specialty of Axoxa New Vitality Medical PC?
Axoxa New Vitality Medical PC is registered under the primary taxonomy Preventive Medicine, Public Health & General Preventive Medicine (code 2083P0901X), licensed in NY under license number 249039.
Where does Axoxa New Vitality Medical PC practice?
The practice location is 61 E 86TH St, New York, NY 10028-1068. The office can be reached at 646-862-7091 (phone).
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 1841654480 directly on the NPPES registry website.