Organization
ADVANCED PHYSICIAN SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MUSSO MD (OWNER)
(718) 641-7180
Entity
Organization
Contact information
Practice address
9407 156TH AVE, HOWARD BEACH, NY 11414-2826
(718) 641-7180
(718) 641-7326
Mailing address
9407 156TH AVE, HOWARD BEACH, NY 11414-2826
(718) 641-7180
(718) 641-7326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
211908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211908
LICENSE
NY
Enumeration date
11/05/2008
Last updated
03/03/2009
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