Provider Demographics
NPI:1427142744
Name:FOX, ARMANDO F (MD)
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:F
Last Name:FOX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5806 JUNCTION BLVD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-5155
Mailing Address - Country:US
Mailing Address - Phone:718-592-4555
Mailing Address - Fax:718-699-1892
Practice Address - Street 1:5806 JUNCTION BLVD
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5155
Practice Address - Country:US
Practice Address - Phone:718-592-4555
Practice Address - Fax:718-699-1892
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104916207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00182605Medicaid
NY00182605Medicaid