Provider Demographics
NPI:1811176290
Name:I & R MEDICAL, P.C.
Entity type:Organization
Organization Name:I & R MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISABELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANGY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-762-4500
Mailing Address - Street 1:6711 164TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3162
Mailing Address - Country:US
Mailing Address - Phone:718-762-4500
Mailing Address - Fax:718-762-1917
Practice Address - Street 1:6711 164TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-3162
Practice Address - Country:US
Practice Address - Phone:718-762-4500
Practice Address - Fax:718-762-1917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010723111N00000X
NY210747207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06080Medicare PIN