Grace Family Medical Practice Pc

LBN: Grace Family Medical Practice Pc
Grace Family Medical Practice Pc is an health care organization with primary practice located at 1222 E 96Th St 2Nd Fl, Brooklyn NY 11236-3903. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Grace Family Medical Practice Pc can be contacted via phone (718) 257-3355, or through Sheridan, Bernadette Lizina via phone (718) 257-3355.

Contact Information

Primary practice address
1222 E 96Th St 2Nd Fl Brooklyn NY 11236-3903
Phone: (718) 257-3355
Fax: (718) 257-4562
Website:
Map and Directions
Authorized official contact:
Name: Sheridan, Bernadette Lizina Doctor of Medicine (MD)
Phone: (718) 257-3355

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 149698 New York

Profile Details

NPI number 1043232143
LBN Legal business name Grace Family Medical Practice Pc
DBA Doing business as
Authorized official Sheridan, Bernadette Lizina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 17th, 2022 - about 3 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 1043232143 NPPES
New York Other 0576775 AETNA HMO
New York Other 080412000004 AETNA HMO
New York Other 172447 AETNA HMO
New York Other 000109940101 AETNA HMO
New York Other 1P1174 AETNA HMO
New York Other 08P6021 AETNA HMO
New York Other 149698 AETNA HMO
New York Other 5995872 AETNA HMO
New York MEDICAID 03803192 AETNA HMO
New York Other 1043232143 AETNA HMO
New York Other 1043232143 AETNA HMO
New York Other 115438 AETNA HMO
New York Other 149698-A16 AETNA HMO
New York Other 311913 AETNA HMO
New York Other 5760228 AETNA HMO
New York Other 160955 AETNA HMO
New York Other 5462A1 AETNA HMO
New York Other P1078363 AETNA HMO
New York MEDICAID 00778863 AETNA HMO
New York Other 0901918 AETNA HMO
New York Other 1000036958 AETNA HMO

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