1717 Medical Pc
LBN: 1717 Medical Pc
1717 Medical Pc is an health care organization with primary practice located at 1717 Veterans Memorial Hwy Ste 1 , Islandia NY 11749-1532. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty.
1717 Medical Pc can be contacted via phone (631) 203-4300, or through Sudberg, Jordan via phone (631) 482-2754.
Contact Information
Primary practice address
1717 Veterans Memorial Hwy Ste 1
Islandia NY 11749-1532
Phone: (631) 203-4300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X |
Profile Details
NPI number | 1467134684 |
---|---|
LBN Legal business name | 1717 Medical Pc |
DBA Doing business as | |
Authorized official | Sudberg, Jordan Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 7th, 2023 |
Last updated | Aug 7th, 2023 - about last year |
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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