105 East 78 Street Medical

LBN: 105 East 78 Street Medical
105 East 78 Street Medical is an health care organization with primary practice located at 885 Park Ave Suite 105, New York NY 10075-0325. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. 105 East 78 Street Medical can be contacted via phone (212) 535-3313, or through Lautin, Everett via phone (212) 535-3313.

Contact Information

Primary practice address
885 Park Ave Suite 105 New York NY 10075-0325
Phone: (212) 535-3313
Fax: (212) 734-3192
Website:
Map and Directions
Authorized official contact:
Name: Lautin, Everett Doctor of Medicine (MD)
Phone: (212) 535-3313

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 60112817 New York

Profile Details

NPI number 1578852588
LBN Legal business name 105 East 78 Street Medical
DBA Doing business as
Authorized official Lautin, Everett Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2011
Last updated Mar 30th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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