Provider Demographics
NPI:1477722635
Name:ABSOLUTE APPROACH MEDICAL P.C.
Entity type:Organization
Organization Name:ABSOLUTE APPROACH MEDICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-553-3172
Mailing Address - Street 1:2387 OCEAN AVE
Mailing Address - Street 2:SUITE# 1G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3543
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2387 OCEAN AVE
Practice Address - Street 2:SUITE# 1G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3543
Practice Address - Country:US
Practice Address - Phone:631-553-3172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246895261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWYRVZ1Medicare PIN