Consolacion O Estrella Pt Pc

LBN: Consolacion O Estrella Pt Pc
Consolacion O Estrella Pt Pc is an health care organization with primary practice located at 787 Lydig Avenue , Bronx NY 10462-2144. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Consolacion O Estrella Pt Pc can be contacted via phone (718) 863-7774, or through Estrella, Consolacion O via phone (718) 863-7774.

Contact Information

Primary practice address
787 Lydig Avenue Bronx NY 10462-2144
Phone: (718) 863-7774
Fax: (718) 792-0288
Website:
Map and Directions
Authorized official contact:
Name: Estrella, Consolacion O
Phone: (718) 863-7774

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 018236 New York

Profile Details

NPI number 1003031881
LBN Legal business name Consolacion O Estrella Pt Pc
DBA Doing business as
Authorized official Estrella, Consolacion O
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Jan 31st, 2013 - about 12 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 1003031881 NPPES
New York MEDICAID 02693281

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