Provider Demographics
NPI:1083455729
Name:PY MEDICAL SERVICES OF TN PC
Entity type:Organization
Organization Name:PY MEDICAL SERVICES OF TN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PEYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNESI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-709-0940
Mailing Address - Street 1:3438 BELL BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-1739
Mailing Address - Country:US
Mailing Address - Phone:718-709-0940
Mailing Address - Fax:516-441-6768
Practice Address - Street 1:239 HOSPITAL CIR
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-4550
Practice Address - Country:US
Practice Address - Phone:731-642-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty