54 Main Street Medical Practice Pc

LBN: 54 Main Street Medical Practice Pc
54 Main Street Medical Practice Pc is an health care organization with primary practice located at 129 Jackson St , Hempstead NY 11550-2412. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. 54 Main Street Medical Practice Pc can be contacted via phone (516) 538-4531, or through Addes, Richard via phone (516) 593-8953.

Contact Information

Primary practice address
129 Jackson St Hempstead NY 11550-2412
Phone: (516) 538-4531
Fax: (516) 292-6287
Website:
Map and Directions
Authorized official contact:
Name: Addes, Richard Doctor of Osteopathy (DO)
Phone: (516) 593-8953

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1386711497
LBN Legal business name 54 Main Street Medical Practice Pc
DBA Doing business as
Authorized official Addes, Richard Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Oct 21st, 2021 - about 3 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 1386711497 NPPES
New York MEDICAID 02757440

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