Boulevard Multispecialty Medical Pc

LBN: Boulevard Multispecialty Medical Pc
Boulevard Multispecialty Medical Pc is an health care organization with primary practice located at 10149 Woohaven Blvd , Ozone Park NY 11416. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Boulevard Multispecialty Medical Pc can be contacted via phone (718) 641-4900, or through Davis, Gordon C via phone (718) 641-4900.

Contact Information

Primary practice address
10149 Woohaven Blvd Ozone Park NY 11416
Phone: (718) 641-4900
Fax: (718) 641-4905
Website:
Map and Directions
Authorized official contact:
Name: Davis, Gordon C Doctor of Osteopathy (DO)
Phone: (718) 641-4900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 24145 New York

Profile Details

NPI number 1730245366
LBN Legal business name Boulevard Multispecialty Medical Pc
DBA Doing business as
Authorized official Davis, Gordon C Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 2020 - about 4 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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