Frederic A Mendelsohn Neurodiagnostics Inc

LBN: Frederic A Mendelsohn Neurodiagnostics Inc
Frederic A Mendelsohn Neurodiagnostics Inc is an health care organization with primary practice located at 30 Seaside Dr , Port Jefferson NY 11777-1132. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as the primary health care specialty. Frederic A Mendelsohn Neurodiagnostics Inc can be contacted via phone (631) 987-3705, or through Mendelsohn, Frederic A via phone (631) 987-3705.

Contact Information

Primary practice address
30 Seaside Dr Port Jefferson NY 11777-1132
Phone: (631) 987-3705
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mendelsohn, Frederic A Doctor of Medicine (MD)
Phone: (631) 987-3705

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X

Profile Details

NPI number 1568926822
LBN Legal business name Frederic A Mendelsohn Neurodiagnostics Inc
DBA Doing business as
Authorized official Mendelsohn, Frederic A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2019
Last updated Jan 30th, 2019 - about 5 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 1568926822 NPPES
New York MEDICAID 00655156

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