Organization
ATLANTIC MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSYMA MOHAMED (OFFICE MANAGER)
(718) 323-1921
Entity
Organization
Contact information
Practice address
11501 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1901
(718) 323-1921
(718) 323-1922
Mailing address
11501 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1901
(718) 323-1921
(718) 323-1922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
185954-1
NY
174400000X
Specialist
239518-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287021
—
NY
Enumeration date
07/30/2008
Last updated
07/30/2008
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