AB MEDICAL CARE PLLC NPI 1063402311

NPI Information

  • NPI: 1063402311
  • Provider Name: AB MEDICAL CARE PLLC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Address: 650 CENTRAL AVE
    SUITE A
    CEDARHURST, NY
    ZIP 11516
  • Phone: (516) 295-1924

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NPI Details

AB MEDICAL CARE PLLC is an adult medicine family medicine in Cedarhurst, NY. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. AB MEDICAL CARE PLLC NPI is 1063402311. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

650 CENTRAL AVE
SUITE A
CEDARHURST, NY
ZIP 11516-301
Phone: (516) 295-1924
Fax: (516) 295-9345

The provider's authorized official is Alla Boohoff .
The authorized official title is President and has the following contact phone number (516) 295-1924.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 6/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine223039NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H59676MEDICARE UPINNEW YORK
2WHA201MEDICARE ID-TYPE UNSPECIFIEDNEW YORKMEDICARE PROVIDER ID
302228137MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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