Provider Demographics
NPI: | 1578833661 |
---|---|
Name: | APM SPECIALISTS, LLC |
Entity type: | Organization |
Organization Name: | APM SPECIALISTS, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | AMGAD |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HESSEIN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 845-507-0600 |
Mailing Address - Street 1: | 55 OLD TURNPIKE RD |
Mailing Address - Street 2: | SUITE 205 |
Mailing Address - City: | NANUET |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10954-2460 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 845-507-0600 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 55 OLD TURNPIKE RD |
Practice Address - Street 2: | SUITE 205 |
Practice Address - City: | NANUET |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10954-2460 |
Practice Address - Country: | US |
Practice Address - Phone: | 845-507-0600 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-01-05 |
Last Update Date: | 2012-01-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 193845 | 207LP2900X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | Group - Multi-Specialty |