1110 Pennsylvania Avenue Medical Pllc

LBN: 1110 Pennsylvania Avenue Medical Pllc
1110 Pennsylvania Avenue Medical Pllc is an health care organization with primary practice located at 1110 Pennsylvania Ave Suite 5, Brooklyn NY 11207-9003. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. 1110 Pennsylvania Avenue Medical Pllc can be contacted via phone (646) 942-2842, or through Storey, Jacqueline via phone (646) 942-2842.

Contact Information

Primary practice address
1110 Pennsylvania Ave Suite 5 Brooklyn NY 11207-9003
Phone: (646) 942-2842
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Storey, Jacqueline Doctor of Medicine (MD)
Phone: (646) 942-2842

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1730638115
LBN Legal business name 1110 Pennsylvania Avenue Medical Pllc
DBA Doing business as
Authorized official Storey, Jacqueline Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2016
Last updated Oct 5th, 2016 - about 9 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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