Commack Comprehensive Pediatrics Pllc

LBN: Commack Comprehensive Pediatrics Pllc
Commack Comprehensive Pediatrics Pllc is an health care organization with primary practice located at 283 Commack Rd Suite 325, Commack NY 11725-6021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Commack Comprehensive Pediatrics Pllc can be contacted via phone (631) 499-3588, or through Mazur, Britta Kareen via phone (631) 499-3588.

Contact Information

Primary practice address
283 Commack Rd Suite 325 Commack NY 11725-6021
Phone: (631) 499-3588
Fax: (631) 499-3583
Website:
Map and Directions
Authorized official contact:
Name: Mazur, Britta Kareen Doctor of Osteopathy (DO)
Phone: (631) 499-3588

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 188094 New York

Profile Details

NPI number 1497702617
LBN Legal business name Commack Comprehensive Pediatrics Pllc
DBA Doing business as
Authorized official Mazur, Britta Kareen Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Sep 14th, 2009 - about 15 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 1497702617 NPPES
New York MEDICAID 01600215

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