Provider Demographics
NPI:1992990451
Name:A & M ADVANCED MEDICAL CARE, PC.
Entity type:Organization
Organization Name:A & M ADVANCED MEDICAL CARE, PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:STROKINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-975-2710
Mailing Address - Street 1:1819 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2870
Mailing Address - Country:US
Mailing Address - Phone:718-975-2710
Mailing Address - Fax:718-975-2711
Practice Address - Street 1:1819 E 13TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2870
Practice Address - Country:US
Practice Address - Phone:718-975-2710
Practice Address - Fax:718-975-2711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02554805Medicaid
W45871Medicare PIN