Douglas J Vander Heide Mdpc

LBN: Douglas J Vander Heide Mdpc
Douglas J Vander Heide Mdpc is an health care organization with primary practice located at 7 E 85Th St Apt G , New York NY 10028-0440. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Douglas J Vander Heide Mdpc can be contacted via phone (212) 772-6443, or through Van Der Heide, Douglas J via phone (212) 772-6443.

Contact Information

Primary practice address
7 E 85Th St Apt G New York NY 10028-0440
Phone: (212) 772-6443
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Van Der Heide, Douglas J
Phone: (212) 772-6443

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 131230 New York

Profile Details

NPI number 1205805934
LBN Legal business name Douglas J Vander Heide Mdpc
DBA Doing business as
Authorized official Van Der Heide, Douglas J
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Feb 1st, 2010 - about 14 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 1205805934 NPPES
New York MEDICAID 00509673

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