Provider Demographics
NPI:1578177929
Name:AR PERSONAL MEDICAL CARE P.C.
Entity Type:Organization
Organization Name:AR PERSONAL MEDICAL CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ROMEO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-334-4004
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0019
Mailing Address - Country:US
Mailing Address - Phone:718-762-8080
Mailing Address - Fax:718-762-2079
Practice Address - Street 1:3726 76TH ST FL 1
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6508
Practice Address - Country:US
Practice Address - Phone:718-762-8080
Practice Address - Fax:718-762-2079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01565044Medicaid