Provider Demographics
NPI:1033623178
Name:ADVANCED CARE ASSOCIATES LLC
Entity Type:Organization
Organization Name:ADVANCED CARE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEMATOLOGIST AND ONCOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ARCHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-522-1340
Mailing Address - Street 1:455 NORTH END AVE GROUND FL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10282-5383
Mailing Address - Country:US
Mailing Address - Phone:917-522-1340
Mailing Address - Fax:
Practice Address - Street 1:455 NORTH END AVENUE, GROUND FLOOR
Practice Address - Street 2:WELNESS CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10282-5383
Practice Address - Country:US
Practice Address - Phone:917-522-1340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-28
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333600000XSuppliersPharmacy
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty