Organization
ADVANCE PROFESSIONAL MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL AMOASHIY MD (OWNER)
(718) 645-6434
Entity
Organization
Contact information
Practice address
408 JAY ST STE 301, BROOKLYN, NY 11201-5150
(718) 646-6434
(718) 360-2279
Mailing address
408 JAY ST STE 301, BROOKLYN, NY 11201-5150
(718) 646-6434
(718) 360-2279
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
211960
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01877632
—
NY
Enumeration date
02/02/2012
Last updated
02/02/2012
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