Provider Demographics
NPI:1104001593
Name:A&I MEDICAL P.C.
Entity type:Organization
Organization Name:A&I MEDICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:RYNDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-676-1180
Mailing Address - Street 1:1773 E 19TH ST # 1C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2245
Mailing Address - Country:US
Mailing Address - Phone:718-483-3270
Mailing Address - Fax:347-587-4082
Practice Address - Street 1:1773 E 19TH ST # 1C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2245
Practice Address - Country:US
Practice Address - Phone:718-676-1180
Practice Address - Fax:347-587-4082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2363851208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02711255Medicaid
NYWZWWQ1Medicare PIN