Provider Demographics
NPI:1154627842
Name:VISITING MEDICAL DOCTORS OF N.Y. P.L.L.C
Entity Type:Organization
Organization Name:VISITING MEDICAL DOCTORS OF N.Y. P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARBISSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:1718-436-3211
Mailing Address - Street 1:1663 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1257
Mailing Address - Country:US
Mailing Address - Phone:718-436-3211
Mailing Address - Fax:
Practice Address - Street 1:3057 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6320
Practice Address - Country:US
Practice Address - Phone:718-951-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYMD 162525207R00000X
NYMD 150519207RI0001X
NYMD 123999207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RI0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical & Laboratory ImmunologyGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty