Good Will Medical Pc

LBN: Good Will Medical Pc
Good Will Medical Pc is an health care organization with primary practice located at 51 15 Beach Channel Drive Peninsula Hospital, Far Rockaway NY 11691-1074. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Good Will Medical Pc can be contacted via phone (718) 734-2345, or through Laufer, Salli via phone (718) 734-2345.

Contact Information

Primary practice address
51 15 Beach Channel Drive Peninsula Hospital Far Rockaway NY 11691-1074
Fax: (718) 734-2808
Website:
Authorized official contact:
Name: Laufer, Salli Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 207114 New York

Profile Details

NPI number 1124103585
LBN Legal business name Good Will Medical Pc
DBA Doing business as
Authorized official Laufer, Salli Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
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 1124103585 NPPES
New York MEDICAID 01809549

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