139 Medical P.C.

LBN: 139 Medical P.C.
139 Medical P.C. is an health care organization with primary practice located at 139 Centre St Suite 618, New York NY 10013-4552. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. 139 Medical P.C. can be contacted via phone (212) 925-4993, or through Li, Ka via phone (212) 925-4993.

Contact Information

Primary practice address
139 Centre St Suite 618 New York NY 10013-4552
Phone: (212) 925-4993
Fax: (212) 925-4665
Website:
Map and Directions
Authorized official contact:
Name: Li, Ka Doctor of Medicine (MD)
Phone: (212) 925-4993

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 214391 New York

Profile Details

NPI number 1790076370
LBN Legal business name 139 Medical P.C.
DBA Doing business as
Authorized official Li, Ka Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2011
Last updated Dec 2nd, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790076370 NPPES
New York MEDICAID 02010557

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