Provider Demographics
NPI:1629118377
Name:AFG INTERNAL MEDICINE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:AFG INTERNAL MEDICINE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SKEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-231-4444
Mailing Address - Street 1:4350 VAN CORTLANDT PARK E
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-1875
Mailing Address - Country:US
Mailing Address - Phone:718-231-4444
Mailing Address - Fax:718-231-4702
Practice Address - Street 1:4350 VAN CORTLANDT PARK E
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-1875
Practice Address - Country:US
Practice Address - Phone:718-231-4444
Practice Address - Fax:718-231-4702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX I.D. NUMBER
NY=========OtherTAX I.D. NUMBER