Durriya S Esaa

LBN: Durriya S Esaa
Durriya S Esaa is an health care organization with primary practice located at 1201 Grampian Blvd Suite 2C, Williamsport PA 17701-1900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Durriya S Esaa can be contacted via phone (570) 322-9948, or through Wagner, Lisa L via phone (570) 322-9948.

Contact Information

Primary practice address
1201 Grampian Blvd Suite 2C Williamsport PA 17701-1900
Phone: (570) 322-9948
Fax: (570) 322-6195
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Lisa L
Phone: (570) 322-9948

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD043700L Pennsylvania

Profile Details

NPI number 1467658476
LBN Legal business name Durriya S Esaa
DBA Doing business as
Authorized official Wagner, Lisa L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2007
Last updated Nov 19th, 2009 - about 16 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 1467658476 NPPES
Pennsylvania MEDICAID 1007503440003
Pennsylvania Other 097365

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