Provider Demographics
NPI:1235136862
Name:A.AMERIMED PHYSICIAN, P.C.
Entity Type:Organization
Organization Name:A.AMERIMED PHYSICIAN, P.C.
Other - Org Name:AMERIMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PINKAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEBOVITS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-757-7010
Mailing Address - Street 1:200 W 58TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1432
Mailing Address - Country:US
Mailing Address - Phone:212-757-7010
Mailing Address - Fax:212-245-2067
Practice Address - Street 1:1100 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2342
Practice Address - Country:US
Practice Address - Phone:718-434-7533
Practice Address - Fax:212-434-7703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01806073Medicaid
NY01806073Medicaid