Organization
AVIV MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLGA PROSKUROVSKY (MANAGING EMPLOYEE)
(718) 653-7100
Entity
Organization
Contact information
Practice address
2426 EASTCHESTER RD, SUITE 212, BRONX, NY 10469-5947
(718) 653-7100
(718) 231-7529
Mailing address
2426 EASTCHESTER RD, SUITE 212, BRONX, NY 10469-5947
(718) 653-7100
(718) 231-7529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
248691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093923
PSC
NY
Enumeration date
06/28/2011
Last updated
09/27/2011
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