Community Related Services

LBN: Community Related Services
Community Related Services is an health care organization with primary practice located at 9907 Queens Blvd 2Nd Floor, Rego Park NY 11374-4512. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Community Related Services can be contacted via phone (718) 997-1901, or through Mamedova-Braz, Yelena via phone (718) 997-1901.

Contact Information

Primary practice address
9907 Queens Blvd 2Nd Floor Rego Park NY 11374-4512
Phone: (718) 997-1901
Fax: (718) 997-9259
Website:
Map and Directions
Authorized official contact:
Name: Mamedova-Braz, Yelena Doctor of Medicine (MD)
Phone: (718) 997-1901

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X New York

Profile Details

NPI number 1801078894
LBN Legal business name Community Related Services
DBA Doing business as
Authorized official Mamedova-Braz, Yelena Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2007
Last updated Nov 30th, 2007 - about 17 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 1801078894 NPPES
New York MEDICAID 01827816

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