| Organization Name: | ADVANTAGE CARE DIAGNOSTIC AND TREATMENT CENTER ,INC |
| NPI Number: | 1073689600 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RACHELE D MOISE (CLINIC BILLING MANAGER) |
| Mailing Address: | 189 Wheatley Rd Brookville |
| State: | NY US |
| Postal Code: | 115452641 |
| Phone Number: | 5166261075 |
| Fax Number: | 5163969766 |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 06/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |