Provider Demographics
NPI:1235684432
Name:AMS PRIMARY MEDICAL CARE HOUSE CALLS,PC
Entity Type:Organization
Organization Name:AMS PRIMARY MEDICAL CARE HOUSE CALLS,PC
Other - Org Name:NEW YORK EXPRESS MEDICAL CARE PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:AZAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-462-6644
Mailing Address - Street 1:6277 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-2837
Mailing Address - Country:US
Mailing Address - Phone:631-462-6644
Mailing Address - Fax:
Practice Address - Street 1:6277 JERICHO TPK
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725
Practice Address - Country:US
Practice Address - Phone:631-462-6644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMS PRIMARY MEDICAL CARE HOUSE CALLS, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-18
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty