Cm Blaine Md Pllc

LBN: Cm Blaine Md Pllc
Cm Blaine Md Pllc is an health care organization with primary practice located at 250 Patchogue Yaphank Rd Ste 7 , East Patchogue NY 11772-4862. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Cm Blaine Md Pllc can be contacted via phone (631) 714-4402, or through Kim, Jiyon J via phone (631) 714-4402.

Contact Information

Primary practice address
250 Patchogue Yaphank Rd Ste 7 East Patchogue NY 11772-4862
Phone: (631) 714-4402
Fax: (631) 714-4095
Website:
Map and Directions
Authorized official contact:
Name: Kim, Jiyon J Physician Assistant (PA)
Phone: (631) 714-4402

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1396514618
LBN Legal business name Cm Blaine Md Pllc
DBA Doing business as
Authorized official Kim, Jiyon J Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2023
Last updated Dec 28th, 2023 - about 2 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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