Beny J. Primm Medical Group, Llc
LBN: Fifth Avenue Medical Associates, Llc
Beny J. Primm Medical Group, Llc is an health care organization with primary practice located at 745 5Th Ave Suite 500, New York NY 10151-0099. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty.
Fifth Avenue Medical Associates, Llc can be contacted via phone (646) 898-2037, or through Jin, Charles Y via phone (646) 898-2037.
Contact Information
Primary practice address
745 5Th Ave Suite 500
New York NY 10151-0099
Phone: (646) 898-2037
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | 101838 | New York |
Profile Details
| NPI number | 1083069439 |
|---|---|
| LBN Legal business name | Fifth Avenue Medical Associates, Llc |
| DBA Doing business as | Beny J. Primm Medical Group, Llc |
| Authorized official | Jin, Charles Y Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2016 |
| Last updated | Nov 19th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083069439 | NPPES |
| New York | MEDICAID | 02216131 |
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