Community Internal Medicine Assoc, Pc

LBN: Community Internal Medicine Assoc, Pc
Community Internal Medicine Assoc, Pc is an health care organization with primary practice located at 9777 Queens Blvd 9Th Fl Ste 900, Rego Park NY 11374-3317. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Community Internal Medicine Assoc, Pc can be contacted via phone (212) 255-2333, or through Santos, Marissa via phone (212) 255-2333.

Contact Information

Primary practice address
9777 Queens Blvd 9Th Fl Ste 900 Rego Park NY 11374-3317
Phone: (212) 255-2333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Santos, Marissa Doctor of Medicine (MD)
Phone: (212) 255-2333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 198043 New York

Profile Details

NPI number 1285759217
LBN Legal business name Community Internal Medicine Assoc, Pc
DBA Doing business as
Authorized official Santos, Marissa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285759217 NPPES
New York Other 5816203 AETNA

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