Organization
ADVANCED MULTICARE MEDICAL PC
Active
Other names
Victory MultiMed
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKHAIL J ARTAMONOV MD (DIRECTOR)
(718) 815-7246
Entity
Organization
Contact information
Practice address
25 VICTORY BLVD, 2ND FLOOR, STATEN ISLAND, NY 10301-2905
(718) 815-7246
(516) 706-1085
Mailing address
25 VICTORY BLVD, 2ND FLOOR, STATEN ISLAND, NY 10301-2905
(718) 815-7246
(516) 706-1085
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
250059
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
250059
NY
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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