# ADVANTA MEDICAL PC

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

## Provider details

- **NPI number:** 1386036143
- **Authorized official:** MICHAEL RISKEVICH DO (DOCTOR)
- **Authorized official phone:** (718) 934-8484

## Contact information

- **Practice address:** 2818 OCEAN AVE, STE 1, BROOKLYN, NY 11235-3121
- **Practice address phone:** (718) 934-8484
- **Practice address fax:** (718) 934-4267
- **Mailing address:** 2818 OCEAN AVE, STE 1, BROOKLYN, NY 11235-3170
- **Mailing address phone:** (718) 934-8484
- **Mailing address fax:** (718) 934-4267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 208815 | NY | Yes |

## Other

- **Enumeration date:** 03/03/2015
- **Last updated:** 03/06/2015