9317 Medical Office Pc

LBN: 9317 Medical Office Pc
9317 Medical Office Pc is an health care organization with primary practice located at 9317 Roosevelt Ave , Jackson Heights NY 11372-7943. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. 9317 Medical Office Pc can be contacted via phone (718) 446-0270, or through Marrero, Sandra J via phone (718) 446-0270.

Contact Information

Primary practice address
9317 Roosevelt Ave Jackson Heights NY 11372-7943
Phone: (718) 446-0270
Fax: (718) 446-5939
Website:
Map and Directions
Authorized official contact:
Name: Marrero, Sandra J
Phone: (718) 446-0270

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1871707372
LBN Legal business name 9317 Medical Office Pc
DBA Doing business as
Authorized official Marrero, Sandra J
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Jun 21st, 2024 - about 6 months 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 1871707372 NPPES
New York MEDICAID 01748636
New York MEDICAID 121841700

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