Active Life Health Of Ny Pc

LBN: Active Life Health Of Ny Pc
Active Life Health Of Ny Pc is an health care organization with primary practice located at 300 E Main St Ste 1 , Smithtown NY 11787-2900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Active Life Health Of Ny Pc can be contacted via phone (631) 656-8796, or through Rush, John J via phone (301) 928-1697.

Contact Information

Primary practice address
300 E Main St Ste 1 Smithtown NY 11787-2900
Phone: (631) 656-8796
Fax: (631) 333-7322
Website:
Map and Directions
Authorized official contact:
Name: Rush, John J Doctor of Medicine (MD)
Phone: (301) 928-1697

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2611911 Texas

Profile Details

NPI number 1275814105
LBN Legal business name Active Life Health Of Ny Pc
DBA Doing business as
Authorized official Rush, John J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2011
Last updated Mar 4th, 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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