OrganizationActive
Advanced Health & Medical,p.c.
NPI 1912050709 · Legal Medicine · Liberty, NY
Provider details
- NPI number
- 1912050709
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Ali Davachi, President(845) 292-8810
- License
- 105573 (NY)
Specialties & taxonomies
Other Service Providers
Practice location
21 Mill St
Liberty, NY 12754-2010
Phone: (845) 292-8810
Fax: (845) 295-9156
Approximate (ZIP-level) locationGet directions
Mailing address
21 Mill St
Liberty, NY 12754-2010
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.