Provider Demographics
NPI:1710471800
Name:AMERICAN MEDICAL TODAY P.C.
Entity type:Organization
Organization Name:AMERICAN MEDICAL TODAY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHURANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-673-5067
Mailing Address - Street 1:350 JERICHO TPKE STE 312
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-1317
Mailing Address - Country:US
Mailing Address - Phone:646-593-3261
Mailing Address - Fax:
Practice Address - Street 1:474 OVINGTON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1550
Practice Address - Country:US
Practice Address - Phone:718-238-2625
Practice Address - Fax:516-261-7326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05288720Medicaid