Front Street Medical Pc

LBN: Front Street Medical Pc
Front Street Medical Pc is an health care organization with primary practice located at 11045 Queens Blvd Suite Aa, Forest Hills NY 11375-5501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Front Street Medical Pc can be contacted via phone (718) 268-4468, or through Khanan, David G via phone (516) 565-4370.

Contact Information

Primary practice address
11045 Queens Blvd Suite Aa Forest Hills NY 11375-5501
Phone: (718) 268-4468
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khanan, David G Doctor of Medicine (MD)
Phone: (516) 565-4370

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 228173 New York

Profile Details

NPI number 1790992030
LBN Legal business name Front Street Medical Pc
DBA Doing business as
Authorized official Khanan, David G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1790992030 NPPES
New York Other 228173 MED LIC

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