Atlantic Health Care Medical Pc

LBN: Atlantic Health Care Medical Pc
Atlantic Health Care Medical Pc is an health care organization with primary practice located at 281 E Main St , East Islip NY 11730-2833. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Atlantic Health Care Medical Pc can be contacted via phone (631) 224-3625, or through Mandarano, Carmine G via phone (631) 224-3625.

Contact Information

Primary practice address
281 E Main St East Islip NY 11730-2833
Phone: (631) 224-3625
Fax: (631) 224-3975
Website:
Map and Directions
Authorized official contact:
Name: Mandarano, Carmine G Doctor of Medicine (MD)
Phone: (631) 224-3625

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 150973 New York

Profile Details

NPI number 1720387863
LBN Legal business name Atlantic Health Care Medical Pc
DBA Doing business as
Authorized official Mandarano, Carmine G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2011
Last updated Mar 15th, 2011 - about 13 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 1720387863 NPPES
New York MEDICAID 01124221

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