Andrea E Nomberg Physician Pc

LBN: Andrea E Nomberg Physician Pc
Andrea E Nomberg Physician Pc is an health care organization with primary practice located at 622 Hawkins Ave , Ronkonkoma NY 11779-2374. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Andrea E Nomberg Physician Pc can be contacted via phone (631) 583-3333, or through Nomberg, Andrea via phone (631) 583-3333.

Contact Information

Primary practice address
622 Hawkins Ave Ronkonkoma NY 11779-2374
Phone: (631) 583-3333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nomberg, Andrea Doctor of Medicine (MD)
Phone: (631) 583-3333

Health care specialties

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

Profile Details

NPI number 1295394120
LBN Legal business name Andrea E Nomberg Physician Pc
DBA Doing business as
Authorized official Nomberg, Andrea Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2019
Last updated Feb 28th, 2024 - about 10 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 1295394120 NPPES
New York Other 102723 LICENSE

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