ASTORIA MEDICAL P C NPI 1982794376

NPI Information

  • NPI: 1982794376
  • Provider Name: ASTORIA MEDICAL P C
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: ASTORIA MEDICAL
  • Address: 4811 VENOY RD
    SUITE 300
    WAYNE, MI
    ZIP 48184
  • Phone: (734) 722-9022

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NPI Details

ASTORIA MEDICAL P C is a clinic center in Wayne, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ASTORIA MEDICAL P C NPI is 1982794376. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Astoria Medical.

The provider's business location address is:

4811 VENOY RD
SUITE 300
WAYNE, MI
ZIP 48184-675
Phone: (734) 722-9022
Fax: (734) 722-9044

The provider's authorized official is Abdelbaset A Youssef .
The authorized official title is Owner and has the following contact phone number (734) 722-9022.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 10/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine4301081069MICHIGANNo
2261QM2500XClinic/CenterMedical SpecialtyNo
3261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H88814MEDICARE UPINMICHIGAN
24533838MEDICAIDMICHIGAN
30N74360MEDICARE PIN
40N74360MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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