Provider Demographics
NPI:1568646347
Name:AMERICAN MEDICAL INC.
Entity Type:Organization
Organization Name:AMERICAN MEDICAL INC.
Other - Org Name:D/B/A AMERICAN MEDICAL MANAGEMENT OF NEW YORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDEL-KARIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-732-1600
Mailing Address - Street 1:260 MIDDLE COUNTRY RD.
Mailing Address - Street 2:BLDG #3 SUITE 9-A
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784
Mailing Address - Country:US
Mailing Address - Phone:631-732-1600
Mailing Address - Fax:631-732-7872
Practice Address - Street 1:260 MIDDLE COUNTRY RD.
Practice Address - Street 2:BLDG #3 SUITE 9-A
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784
Practice Address - Country:US
Practice Address - Phone:631-732-1600
Practice Address - Fax:631-732-7872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1100L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02631083Medicaid