Provider Demographics
NPI:1568770980
Name:KEVIN J. ARMINGTON, M.D., P.C.
Entity Type:Organization
Organization Name:KEVIN J. ARMINGTON, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ARMINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-740-4649
Mailing Address - Street 1:150 W END AVE
Mailing Address - Street 2:APT. 26N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5702
Mailing Address - Country:US
Mailing Address - Phone:917-740-4649
Mailing Address - Fax:718-302-9830
Practice Address - Street 1:127 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-2279
Practice Address - Country:US
Practice Address - Phone:718-302-9362
Practice Address - Fax:718-302-9830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221701261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02316892Medicaid