Provider Demographics
NPI:1023299211
Name:ADVANCED PRIMARY CARE ASSOCIATES LLP
Entity type:Organization
Organization Name:ADVANCED PRIMARY CARE ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA-MANZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-542-1180
Mailing Address - Street 1:PO BOX 383
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-0383
Mailing Address - Country:US
Mailing Address - Phone:516-542-1180
Mailing Address - Fax:516-832-4423
Practice Address - Street 1:265 POST AVE
Practice Address - Street 2:STE 114
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-2233
Practice Address - Country:US
Practice Address - Phone:516-542-1180
Practice Address - Fax:516-832-4423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163064207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty