300 Old Country Road Medical Pllc

LBN: 300 Old Country Road Medical Pllc
300 Old Country Road Medical Pllc is an health care organization with primary practice located at 300 Old Country Rd Ste 201 , Mineola NY 11501-4199. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. 300 Old Country Road Medical Pllc can be contacted via phone (516) 702-4924, or through Tydings, Lawrence via phone (516) 702-4924.

Contact Information

Primary practice address
300 Old Country Rd Ste 201 Mineola NY 11501-4199
Phone: (516) 702-4924
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tydings, Lawrence Doctor of Medicine (MD)
Phone: (516) 702-4924

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1164935276
LBN Legal business name 300 Old Country Road Medical Pllc
DBA Doing business as
Authorized official Tydings, Lawrence Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2017
Last updated Nov 10th, 2017 - about 7 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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