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.
Organization
HEALTHY LIFE MEDICAL P.C.
Active
Organization
HEALTHY LIFE MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEMEN AVSHALUMOV M.D. (PRESIDENT)
(718) 667-6807
Entity
Organization
Contact information
Practice address
202 FOSTER AVE, BROOKLYN, NY 11230-2119
(718) 431-0014
Mailing address
476 SAINT GEORGE RD, STATEN ISLAND, NY 10306-1525
(718) 667-6807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
205117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01754892
—
NY
Enumeration date
07/04/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up