Canton Geriatrics Pllc

LBN: Canton Geriatrics Pllc
Canton Geriatrics Pllc is an health care organization with primary practice located at 461 Cherry Brook Road , Canton CT 06019. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Canton Geriatrics Pllc can be contacted via phone (845) 527-8854, or through Gardner, Tina Marie via phone (845) 527-8854.

Contact Information

Primary practice address
461 Cherry Brook Road Canton CT 06019
Phone: (845) 527-8854
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Tina Marie Doctor of Medicine (MD)
Phone: (845) 527-8854

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1912532953
LBN Legal business name Canton Geriatrics Pllc
DBA Doing business as
Authorized official Gardner, Tina Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2020
Last updated Mar 10th, 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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