Basic Information
| Provider Information | |||||||||
| NPI: | 1124047378 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ACCESS CARE PHYSICIANS OF NY, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 980 US HIGHWAY 9 | ||||||||
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| City: | SOUTH AMBOY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088793320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7325539729 | ||||||||
| FaxNumber: | 7325539730 | ||||||||
| Practice Location | |||||||||
| Address1: | 256 MASON AVE | ||||||||
| Address2: | BUILDING C | ||||||||
| City: | STATEN ISLAND | ||||||||
| State: | NY | ||||||||
| PostalCode: | 103053408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186689729 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2006 | ||||||||
| LastUpdateDate: | 08/29/2007 | ||||||||
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| AuthorizedOfficialLastName: | FIGUEROA | ||||||||
| AuthorizedOfficialFirstName: | RAYMOND | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7172350181 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0204X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology |
No ID Information.