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ADVANCED MEDICAL GROUP PC NPI 1710939798


NPI Information

NPI: 1710939798
Provider Name: ADVANCED MEDICAL GROUP PC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 33D1043941

Address:
1958 OCEAN AVE
BROOKLYN, NY
ZIP 11230
Phone: (718) 645-8901
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ADVANCED MEDICAL GROUP PC is a pulmonary disease internal medicine in Brooklyn, NY. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. ADVANCED MEDICAL GROUP PC NPI is 1710939798. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1958 OCEAN AVE
BROOKLYN, NY
ZIP 11230-719
Phone: (718) 645-8901
Fax: (718) 645-7970

The provider's authorized official is Reuven Moshenyat .
The authorized official title is President and has the following contact phone number (718) 645-8901.

The CLIA number assigned to this NPI record is 33D1043941 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 8/20/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyNo
2207RP1001XInternal MedicinePulmonary DiseaseYes

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: 4/28/2024

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