Provider Demographics
NPI:1992952188
Name:ALMONTE MEDICAL PC
Entity type:Organization
Organization Name:ALMONTE MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-323-3919
Mailing Address - Street 1:8501 110TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1245
Mailing Address - Country:US
Mailing Address - Phone:718-323-3919
Mailing Address - Fax:718-323-3918
Practice Address - Street 1:8716 96TH ST
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-2217
Practice Address - Country:US
Practice Address - Phone:718-323-3919
Practice Address - Fax:718-323-3918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2013-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217647261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH33735Medicare UPIN
NY05678GMedicare PIN
NYX87773Medicare UPIN