OrganizationActive
Innovative Medical Concepts P.C.
NPI 1700478013 · Pain Medicine Physician · New York, NY
Provider details
- NPI number
- 1700478013
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Igor Ostrovsky, President(917) 796-1267
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11 E 47th St Fl 2
New York, NY 10017-1919
Phone: (212) 355-3377
Approximate (ZIP-level) locationGet directions
Mailing address
3120 Brighton 5th St Ste 1c
Brooklyn, NY 11235-7003
Registry dates
- Enumerated
- 2021-02-08
- Last updated
- 2021-02-08
- Certified
- 2021-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.