Provider Demographics
NPI:1568748143
Name:ACHIEVE MEDICAL SERVICE P C
Entity Type:Organization
Organization Name:ACHIEVE MEDICAL SERVICE P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHRON
Authorized Official - Middle Name:
Authorized Official - Last Name:MILWORM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-826-0060
Mailing Address - Street 1:PO BOX 1250
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-8349
Mailing Address - Country:US
Mailing Address - Phone:845-826-0060
Mailing Address - Fax:
Practice Address - Street 1:46 MAIN ST # 125
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3055
Practice Address - Country:US
Practice Address - Phone:845-826-0060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241004207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty