Freeport Pain Managment Pc.

LBN: Freeport Pain Managment Pc.
Freeport Pain Managment Pc. is an health care organization with primary practice located at 31 Guy Lombardo Ave , Freeport NY 11520-3632. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Freeport Pain Managment Pc. can be contacted via phone (516) 213-4610, or through Carrero, Nidia R via phone (516) 213-4610.

Contact Information

Primary practice address
31 Guy Lombardo Ave Freeport NY 11520-3632
Phone: (516) 213-4610
Fax: (516) 213-4819
Website:
Map and Directions
Authorized official contact:
Name: Carrero, Nidia R Doctor of Medicine (MD)
Phone: (516) 213-4610

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 212687 New York

Profile Details

NPI number 1164751533
LBN Legal business name Freeport Pain Managment Pc.
DBA Doing business as
Authorized official Carrero, Nidia R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2009
Last updated Dec 15th, 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 1164751533 NPPES
New York MEDICAID 02103506

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