Complete Care Medical Of N.Y. P.C.

LBN: Complete Care Medical Of N.Y. P.C.
Complete Care Medical Of N.Y. P.C. is an health care organization with primary practice located at 311 Saint Nicholas Ave Ste E , Ridgewood NY 11385-2296. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Complete Care Medical Of N.Y. P.C. can be contacted via phone (718) 894-2500, or through Mederos, Mariano via phone (718) 894-2500.

Contact Information

Primary practice address
311 Saint Nicholas Ave Ste E Ridgewood NY 11385-2296
Phone: (718) 894-2500
Fax: (718) 417-4535
Website:
Map and Directions
Authorized official contact:
Name: Mederos, Mariano Doctor of Medicine (MD)
Phone: (718) 894-2500

Health care specialties

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

Profile Details

NPI number 1346542818
LBN Legal business name Complete Care Medical Of N.Y. P.C.
DBA Doing business as
Authorized official Mederos, Mariano Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2010
Last updated Jun 6th, 2016 - about 8 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 1346542818 NPPES
New York MEDICAID 00947791

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