Organization
ADVANCED HEALTH & MEDICAL,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI DAVACHI M.D. (PRESIDENT)
(845) 292-8810
Entity
Organization
Contact information
Practice address
21 MILL ST, LIBERTY, NY 12754-2010
(845) 292-8810
(845) 295-9156
Mailing address
21 MILL ST, LIBERTY, NY 12754-2010
(845) 292-8810
(845) 295-9156
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
105573
NY
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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