Brockport Vine Medical Pc

LBN: Brockport Vine Medical Pc
Brockport Vine Medical Pc is an health care organization with primary practice located at 122 West Ave Ste 6 , Brockport NY 14420-1225. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Brockport Vine Medical Pc can be contacted via phone (585) 208-8668, or through Fahoury, Alex via phone (585) 208-8668.

Contact Information

Primary practice address
122 West Ave Ste 6 Brockport NY 14420-1225
Phone: (585) 208-8668
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fahoury, Alex Doctor of Medicine (MD)
Phone: (585) 208-8668

Health care specialties

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

Profile Details

NPI number 1871144543
LBN Legal business name Brockport Vine Medical Pc
DBA Doing business as
Authorized official Fahoury, Alex Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2019
Last updated Jan 3rd, 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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