Provider Demographics
NPI:1720477318
Name:ART OF MEDICAL CARE, PC
Entity type:Organization
Organization Name:ART OF MEDICAL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:EDIDIYE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABROV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-915-0717
Mailing Address - Street 1:6614 SAUNDER ST
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374
Mailing Address - Country:US
Mailing Address - Phone:718-915-0717
Mailing Address - Fax:
Practice Address - Street 1:6614 SAUNDER ST
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374
Practice Address - Country:US
Practice Address - Phone:718-915-0717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2621392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty