# ADVANCED MULTICARE MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Victory MultiMed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093960676
- **Authorized official:** DR. MIKHAIL J ARTAMONOV MD (DIRECTOR)
- **Authorized official phone:** (718) 815-7246

## Contact information

- **Practice address:** 25 VICTORY BLVD, 2ND FLOOR, STATEN ISLAND, NY 10301-2905
- **Practice address phone:** (718) 815-7246
- **Practice address fax:** (516) 706-1085
- **Mailing address:** 25 VICTORY BLVD, 2ND FLOOR, STATEN ISLAND, NY 10301-2905
- **Mailing address phone:** (718) 815-7246
- **Mailing address fax:** (516) 706-1085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 250059 | NY | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 250059 | NY | — |

## Other

- **Enumeration date:** 11/24/2008
- **Last updated:** 11/24/2008