Amethyst Medical Pc

LBN: Amethyst Medical Pc
Amethyst Medical Pc is an health care organization with primary practice located at 1840 E 14Th St , Brooklyn NY 11229-2800. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Amethyst Medical Pc can be contacted via phone (718) 336-5257, or through Nagourney, Lee Craig via phone (718) 336-5257.

Contact Information

Primary practice address
1840 E 14Th St Brooklyn NY 11229-2800
Phone: (718) 336-5257
Fax: (718) 336-5187
Website:
Map and Directions
Authorized official contact:
Name: Nagourney, Lee Craig Doctor of Medicine (MD)
Phone: (718) 336-5257

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 156199-1 New York

Profile Details

NPI number 1447361399
LBN Legal business name Amethyst Medical Pc
DBA Doing business as
Authorized official Nagourney, Lee Craig Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 22nd, 2020 - 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 1447361399 NPPES
New York MEDICAID 02752963

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