Provider Demographics
NPI:1447542170
Name:MEDICAL ARTS OF NEW YORK, P.C.
Entity type:Organization
Organization Name:MEDICAL ARTS OF NEW YORK, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:PALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-626-8500
Mailing Address - Street 1:3187 STEINWAY ST
Mailing Address - Street 2:THIRD FLOOR, SUITE 7
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-9816
Mailing Address - Country:US
Mailing Address - Phone:718-626-8500
Mailing Address - Fax:718-626-8501
Practice Address - Street 1:3187 STEINWAY ST
Practice Address - Street 2:THIRD FLOOR, SUITE 7
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-9816
Practice Address - Country:US
Practice Address - Phone:718-626-8500
Practice Address - Fax:718-626-8501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239681207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty