Canaan Medical Llc

LBN: Canaan Medical Llc
Canaan Medical Llc is an health care organization with primary practice located at 661 Cauldwell Ave , Bronx NY 10455-1503. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Canaan Medical Llc can be contacted via phone (973) 342-5593, or through Obi, Kevin A via phone (973) 342-5593.

Contact Information

Primary practice address
661 Cauldwell Ave Bronx NY 10455-1503
Phone: (973) 342-5593
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Obi, Kevin A MLP NURSE PRACTIONER
Phone: (973) 342-5593

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1023644218
LBN Legal business name Canaan Medical Llc
DBA Doing business as
Authorized official Obi, Kevin A MLP NURSE PRACTIONER
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2020
Last updated Mar 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023644218 NPPES
New York Other 1679062640 NURSE PRACTIONER

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