Organization
ADVANTA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RISKEVICH DO (DOCTOR)
(718) 934-8484
Entity
Organization
Contact information
Practice address
2818 OCEAN AVE, STE 1, BROOKLYN, NY 11235-3121
(718) 934-8484
(718) 934-4267
Mailing address
2818 OCEAN AVE, STE 1, BROOKLYN, NY 11235-3170
(718) 934-8484
(718) 934-4267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208815
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03138603
—
NY
Enumeration date
03/03/2015
Last updated
03/06/2015
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