Provider Demographics
NPI:1255633491
Name:ADVANCED MEDICAL OF NEW YORK, PLLC
Entity type:Organization
Organization Name:ADVANCED MEDICAL OF NEW YORK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:VASANT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHHEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-987-1235
Mailing Address - Street 1:2417 JERICHO TPKE
Mailing Address - Street 2:SUITE # 410
Mailing Address - City:GARDEN CITY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4710
Mailing Address - Country:US
Mailing Address - Phone:516-829-4522
Mailing Address - Fax:516-706-0636
Practice Address - Street 1:1991 MARCUS AVE
Practice Address - Street 2:SUITE # 101
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-2057
Practice Address - Country:US
Practice Address - Phone:516-829-4522
Practice Address - Fax:516-706-0636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-20
Last Update Date:2010-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty