Advanced Internal Medicine, P.C.

LBN: Advanced Internal Medicine, P.C.
Advanced Internal Medicine, P.C. is an health care organization with primary practice located at 935 Northern Blvd Ste 105 , Great Neck NY 11021-5309. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Advanced Internal Medicine, P.C. can be contacted via phone (516) 487-0070, or through Shamekh, Shahram Daniel via phone (516) 455-7017.

Contact Information

Primary practice address
935 Northern Blvd Ste 105 Great Neck NY 11021-5309
Phone: (516) 487-0070
Fax: (516) 487-0072
Website:
Map and Directions
Authorized official contact:
Name: Shamekh, Shahram Daniel Doctor of Medicine (MD)
Phone: (516) 455-7017

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 236142 New York

Profile Details

NPI number 1467709451
LBN Legal business name Advanced Internal Medicine, P.C.
DBA Doing business as
Authorized official Shamekh, Shahram Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2012
Last updated Nov 28th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467709451 NPPES
New York MEDICAID 02708294

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