Latina Medica, Pc

LBN: Benemed Physician, Pc
Latina Medica, Pc is an health care organization with primary practice located at 10119 39Th Ave Suite # 101, Corona NY 11368-4806. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Benemed Physician, Pc can be contacted via phone (347) 808-8325, or through Wong Lama, Kim Moi via phone (347) 808-8325.

Contact Information

Primary practice address
10119 39Th Ave Suite # 101 Corona NY 11368-4806
Fax: (347) 808-8326
Website:
Authorized official contact:
Name: Wong Lama, Kim Moi Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 258195 New York

Profile Details

NPI number 1376813782
LBN Legal business name Benemed Physician, Pc
DBA Doing business as Latina Medica, Pc
Authorized official Wong Lama, Kim Moi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2012
Last updated Jun 11th, 2012 - 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 1376813782 NPPES
New York Other 258195 NYS LICENSE NUMBER

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