Provider Demographics
NPI:1285155499
Name:CLEAR CHOICE MEDICAL PC
Entity type:Organization
Organization Name:CLEAR CHOICE MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEYMAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:YOUNESI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-709-3133
Mailing Address - Street 1:30 HARBOR ACRES RD
Mailing Address - Street 2:
Mailing Address - City:SANDS POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11050-2653
Mailing Address - Country:US
Mailing Address - Phone:347-709-3133
Mailing Address - Fax:516-708-1133
Practice Address - Street 1:309 RUTLEDGE ST STE 2B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-7512
Practice Address - Country:US
Practice Address - Phone:845-738-8770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-28
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty