Broadway Medical P.C.

LBN: Broadway Medical P.C.
Broadway Medical P.C. is an health care organization with primary practice located at 120 Broadway , Lynbrook NY 11563-3233. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty. Broadway Medical P.C. can be contacted via phone (516) 599-9355, or through Vitoulis, Joseph via phone (516) 599-9355.

Contact Information

Primary practice address
120 Broadway Lynbrook NY 11563-3233
Phone: (516) 599-9355
Fax: (516) 593-9355
Website:
Map and Directions
Authorized official contact:
Name: Vitoulis, Joseph Doctor of Osteopathy (DO)
Phone: (516) 599-9355

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X002413 New York
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 205528 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 205528 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 017855 New York

Profile Details

NPI number 1932314515
LBN Legal business name Broadway Medical P.C.
DBA Doing business as
Authorized official Vitoulis, Joseph Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1932314515 NPPES
New York MEDICAID 01918905

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