Evergreen Medical Pllc

LBN: Evergreen Medical Pllc
Evergreen Medical Pllc is an health care organization with primary practice located at 755-759 61St Street , Brooklyn NY 11220-4211. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Evergreen Medical Pllc can be contacted via phone (718) 680-8881, or through Lin, May via phone (718) 680-8881.

Contact Information

Primary practice address
755-759 61St Street Brooklyn NY 11220-4211
Phone: (718) 680-8881
Fax: (718) 680-7880
Website:
Map and Directions
Authorized official contact:
Name: Lin, May
Phone: (718) 680-8881

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1164664652
LBN Legal business name Evergreen Medical Pllc
DBA Doing business as
Authorized official Lin, May
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2009
Last updated Jun 3rd, 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 1164664652 NPPES
New York MEDICAID 02440279
New York MEDICAID 03032428
New York MEDICAID 02681267
New York MEDICAID 03036766

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