Organization
ADVANCED INTERNAL MEDICAL CARE ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFSHIN TAVAKOLY M.D. (PROVIDER)
(718) 313-0438
Entity
Organization
Contact information
Practice address
1664 E 14TH ST STE 101, BROOKLYN, NY 11229-1162
(718) 998-2350
(718) 998-4252
Mailing address
1664 E 14TH ST STE 101, BROOKLYN, NY 11229-1162
(718) 313-0438
(718) 396-0407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NY
Other
Enumeration date
05/25/2010
Last updated
09/29/2020
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