Broadway Internal Medicine P.C

LBN: Broadway Internal Medicine P.C
Broadway Internal Medicine P.C is an health care organization with primary practice located at 7517 41St Avenue , Elmhurts NY 11373. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Broadway Internal Medicine P.C can be contacted via phone (718) 803-6300, or through Gonzalez, Carlos Manuel via phone (718) 803-6300.

Contact Information

Primary practice address
7517 41St Avenue Elmhurts NY 11373
Phone: (718) 803-6300
Fax: (718) 803-0085
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Carlos Manuel Doctor of Medicine (MD)
Phone: (718) 803-6300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 156591 New York

Profile Details

NPI number 1124265848
LBN Legal business name Broadway Internal Medicine P.C
DBA Doing business as
Authorized official Gonzalez, Carlos Manuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2009
Last updated Jan 16th, 2009 - about 15 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 1124265848 NPPES
New York MEDICAID 1437162024

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