Bodian Dermatology Group, P.C

LBN: Bodian Dermatology Group, P.C
Bodian Dermatology Group, P.C is an health care organization with primary practice located at 11 Grace Ave Suite 100, Great Neck NY 11021-2417. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bodian Dermatology Group, P.C can be contacted via phone (516) 482-2882, or through Bodian, Adam Ben via phone (516) 482-2882.

Contact Information

Primary practice address
11 Grace Ave Suite 100 Great Neck NY 11021-2417
Fax: (516) 482-6039
Website:
Authorized official contact:
Name: Bodian, Adam Ben Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 176289 New York

Profile Details

NPI number 1659412104
LBN Legal business name Bodian Dermatology Group, P.C
DBA Doing business as
Authorized official Bodian, Adam Ben Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated May 29th, 2008 - about 16 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 1659412104 NPPES
New York Other CN7593 RAILROAD MEDICARE

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