Provider Demographics
NPI:1093886194
Name:AMIRBEKIAN, SATIK (MD)
Entity Type:Individual
Prefix:
First Name:SATIK
Middle Name:
Last Name:AMIRBEKIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-9003
Mailing Address - Country:US
Mailing Address - Phone:718-649-5519
Mailing Address - Fax:
Practice Address - Street 1:1 BELL TOWER DR
Practice Address - Street 2:
Practice Address - City:WATERVLIET
Practice Address - State:NY
Practice Address - Zip Code:12189-2333
Practice Address - Country:US
Practice Address - Phone:518-268-6390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-11
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215179207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01995188Medicaid
NY51C391Medicare ID - Type Unspecified
NY01995188Medicaid