Provider Demographics
NPI:1114960986
Name:NY MEDICAL HEALTH CARE PC
Entity Type:Organization
Organization Name:NY MEDICAL HEALTH CARE PC
Other - Org Name:NY MEDICAL HEALTHCARE PC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BIJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-793-6800
Mailing Address - Street 1:6902 AUSTIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4250
Mailing Address - Country:US
Mailing Address - Phone:718-793-6800
Mailing Address - Fax:347-392-4179
Practice Address - Street 1:6902 AUSTIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4250
Practice Address - Country:US
Practice Address - Phone:718-793-6800
Practice Address - Fax:347-392-4179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty