| Active Healthcare Medical, Pllc | |
|
100 Duffy Ave Ste 510 Hicksville NY 11801-3636 | |
| (732) 236-8212 | |
| Not Available |
| Full Name | Active Healthcare Medical, Pllc |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 100 Duffy Ave Ste 510, Hicksville, New York |
| Authorized Official Name and Position | Ajay Kumar Agarwala (MEMBER) |
| Authorized Official Contact | 7322368212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Healthcare Medical, Pllc 100 Duffy Ave Ste 510 Hicksville NY 11801-3636 Ph: (732) 236-8212 | Active Healthcare Medical, Pllc 100 Duffy Ave Ste 510 Hicksville NY 11801-3636 Ph: (732) 236-8212 |
| NPI Number | 1881484764 |
|---|---|
| Provider Enumeration Date | 05/12/2025 |
| Last Update Date | 05/12/2025 |
| Certification Date | 04/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881484764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
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