Provider Demographics
NPI:1235258963
Name:A&M ADVANCED MEDICAL CARE,PC
Entity Type:Organization
Organization Name:A&M ADVANCED MEDICAL CARE,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKUSOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-704-8972
Mailing Address - Street 1:1819 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2870
Mailing Address - Country:US
Mailing Address - Phone:718-975-2710
Mailing Address - Fax:
Practice Address - Street 1:1819 E 13TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2870
Practice Address - Country:US
Practice Address - Phone:718-975-2710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231544207R00000X
NY212510207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty