Provider Demographics
NPI:1952170664
Name:YONKERS AVE MEDICAL CARE PC
Entity Type:Organization
Organization Name:YONKERS AVE MEDICAL CARE PC
Other - Org Name:METROPOLITAN ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:
Authorized Official - First Name:GRIGORIY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARUTYUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-280-5760
Mailing Address - Street 1:6519 BORDEN AVE
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-1630
Mailing Address - Country:US
Mailing Address - Phone:718-280-5760
Mailing Address - Fax:718-280-5759
Practice Address - Street 1:6519 BORDEN AVE
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-1630
Practice Address - Country:US
Practice Address - Phone:718-280-5760
Practice Address - Fax:718-280-5759
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YONKERS AVE MEDICAL CARE PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-21
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty