Organization
ADVANCED MEDICAL CARE PLLC
Active
Organization
ADVANCED MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GIBSON (MANAGER)
(718) 261-8068
Entity
Organization
Contact information
Practice address
10124 QUEENS BLVD STE A, FOREST HILLS, NY 11375-2703
(718) 261-8881
(718) 261-8889
Mailing address
10124 QUEENS BLVD STE A, FOREST HILLS, NY 11375-2703
(718) 261-8881
(718) 261-8889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207UN0901X
Nuclear Cardiology Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
363AM0700X
Medical Physician Assistant
009605
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01908598
—
NY
05
—
02851334
—
NY
Enumeration date
11/13/2006
Last updated
05/03/2010
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