# ADVANCED MEDICAL OF GRAND CENTRAL PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295918167
- **Authorized official:** LARISA MASHENSKY MD (OWNER)
- **Authorized official phone:** (347) 401-8476

## Contact information

- **Practice address:** 50 E 42ND ST, STE 200, NEW YORK, NY 10017-5405
- **Practice address phone:** (212) 867-0405
- **Practice address fax:** (212) 867-0409
- **Mailing address:** 1003 HAMPTON AVE, BROOKLYN, NY 11235-3013
- **Mailing address phone:** (347) 401-8476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2007
- **Last updated:** 08/11/2008