Coastal Medical Services Of Ny Pllc

LBN: Coastal Medical Services Of Ny Pllc
Coastal Medical Services Of Ny Pllc is an health care organization with primary practice located at 1500 Route 112 Ste B , Port Jefferson Station NY 11776-8055. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Coastal Medical Services Of Ny Pllc can be contacted via phone (917) 575-8907, or through Brevetti, Gregory via phone (917) 575-8907.

Contact Information

Primary practice address
1500 Route 112 Ste B Port Jefferson Station NY 11776-8055
Phone: (917) 575-8907
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brevetti, Gregory Doctor of Medicine (MD)
Phone: (917) 575-8907

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1689334310
LBN Legal business name Coastal Medical Services Of Ny Pllc
DBA Doing business as
Authorized official Brevetti, Gregory Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2021
Last updated Mar 14th, 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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