A Dussan Services Llc

LBN: A Dussan Services Llc
A Dussan Services Llc is an health care organization with primary practice located at 1016 50Th Ave , Long Island City NY 11101-6273. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. A Dussan Services Llc can be contacted via phone (516) 792-6901, or through Dussan, Angela via phone (347) 242-3884.

Contact Information

Primary practice address
1016 50Th Ave Long Island City NY 11101-6273
Phone: (516) 792-6901
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dussan, Angela Doctor of Optometry (OD)
Phone: (347) 242-3884

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1831759810
LBN Legal business name A Dussan Services Llc
DBA Doing business as A Dussan Services Llc
Authorized official Dussan, Angela Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2019
Last updated Aug 28th, 2019 - about 5 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 1831759810 NPPES
New York MEDICAID 03487065

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