Provider Demographics
NPI:1316019219
Name:AP INTEGRATED MEDICAL CARE PC
Entity type:Organization
Organization Name:AP INTEGRATED MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:M
Authorized Official - Last Name:PINKHASOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-604-5037
Mailing Address - Street 1:40 SUNSET RD S
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1149
Mailing Address - Country:US
Mailing Address - Phone:718-604-5037
Mailing Address - Fax:718-363-6630
Practice Address - Street 1:86 EAST 49TH STREET,
Practice Address - Street 2:KATZ BUILDING, ROOM 312
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-604-5037
Practice Address - Fax:718-363-6630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2257722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02107202Medicaid
NYWEQ941Medicare PIN
NY87M701Medicare PIN
NY06418Medicare PIN
NY06418GMedicare PIN
NY87M70EQ941Medicare PIN