Provider Demographics
NPI:1023050408
Name:ASSOCIATES IN INTERNAL MEDICINE P.C.
Entity type:Organization
Organization Name:ASSOCIATES IN INTERNAL MEDICINE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NINA
Authorized Official - Middle Name:SHARI
Authorized Official - Last Name:FALLICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-426-0190
Mailing Address - Street 1:241 E 86TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-3622
Mailing Address - Country:US
Mailing Address - Phone:212-426-0190
Mailing Address - Fax:212-426-0196
Practice Address - Street 1:241 E 86TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-3622
Practice Address - Country:US
Practice Address - Phone:212-426-0190
Practice Address - Fax:212-426-0196
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSOCIATIES IN INTERNAL MEDICINE P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-12
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW35591Medicare PIN
NYW35592Medicare PIN