Central New York Dc, Llc

LBN: Central New York Dc, Llc
Central New York Dc, Llc is an health care organization with primary practice located at 910 Erie Blvd E , Syracuse NY 13210-1060. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Central New York Dc, Llc can be contacted via phone (315) 410-8040, or through Lawson, Herbert S via phone (303) 785-7521.

Contact Information

Primary practice address
910 Erie Blvd E Syracuse NY 13210-1060
Fax: (315) 410-8030
Website:
Authorized official contact:
Name: Lawson, Herbert S

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 3301217R New York

Profile Details

NPI number 1932271251
LBN Legal business name Central New York Dc, Llc
DBA Doing business as
Authorized official Lawson, Herbert S
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Nov 3rd, 2011 - about 14 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 1932271251 NPPES
New York Other 97005 MVP PROVIDER NUMBER
New York MEDICAID 02300801 MVP PROVIDER NUMBER

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