Efp Riverside Dr

LBN: Endwell Family Physicians Llp
Efp Riverside Dr is an health care organization with primary practice located at 240 Riverside Dr , Johnson City NY 13790-2732. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Endwell Family Physicians Llp can be contacted via phone (607) 754-3863, or through Desantis, Kimberly M via phone (607) 754-3863.

Contact Information

Primary practice address
240 Riverside Dr Johnson City NY 13790-2732
Phone: (607) 754-3863
Fax: (607) 754-5697
Website:
Map and Directions
Authorized official contact:
Name: Desantis, Kimberly M Doctor of Medicine (MD)
Phone: (607) 754-3863

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1922362672
LBN Legal business name Endwell Family Physicians Llp
DBA Doing business as Efp Riverside Dr
Authorized official Desantis, Kimberly M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 27th, 2012
Last updated Jun 27th, 2012 - 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 1922362672 NPPES
New York MEDICAID 00557575

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