Emani & Divine Eyes, Inc.

LBN: Emani & Divine Eyes, Inc.
Emani & Divine Eyes, Inc. is an health care organization with primary practice located at 97-04 Rockaway Beach Blvd , Rockaway Beach NY 11693-1313. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Emani & Divine Eyes, Inc. can be contacted via phone (718) 474-0064, or through Ellison, Howard Randolph via phone (917) 291-2370.

Contact Information

Primary practice address
97-04 Rockaway Beach Blvd Rockaway Beach NY 11693-1313
Phone: (718) 474-0064
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellison, Howard Randolph
Phone: (917) 291-2370

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 008765 New York
Managed Care Organizations / Point of Service 305S00000X 0066601 New York

Profile Details

NPI number 1427351485
LBN Legal business name Emani & Divine Eyes, Inc.
DBA Doing business as
Authorized official Ellison, Howard Randolph
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2010
Last updated Dec 14th, 2010 - about 15 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 1427351485 NPPES
New York MEDICAID 1023325107

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