Provider Demographics
NPI:1225688419
Name:ARTISANS AMBULATORY MEDICAL CARE PLLC
Entity Type:Organization
Organization Name:ARTISANS AMBULATORY MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOUDEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-491-2003
Mailing Address - Street 1:466 BAY RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-5906
Mailing Address - Country:US
Mailing Address - Phone:718-491-2003
Mailing Address - Fax:718-491-2007
Practice Address - Street 1:4521 ARTHUR KILL RD FL 2
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-1315
Practice Address - Country:US
Practice Address - Phone:718-491-2003
Practice Address - Fax:718-491-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty