Hq Dental Pc

LBN: Hq Dental Pc
Hq Dental Pc is an health care organization with primary practice located at 11620 Queens Blvd , Forest Hills NY 11375-7055. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Hq Dental Pc can be contacted via phone (347) 283-2396, or through Boruchov, Rafael via phone (347) 283-2396.

Contact Information

Primary practice address
11620 Queens Blvd Forest Hills NY 11375-7055
Phone: (347) 283-2396
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boruchov, Rafael Doctor of Dental Surgery (DDS)
Phone: (347) 283-2396

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 056907 New York

Profile Details

NPI number 1437571395
LBN Legal business name Hq Dental Pc
DBA Doing business as
Authorized official Boruchov, Rafael Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2014
Last updated Jan 13th, 2014 - about 10 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 1437571395 NPPES
New York MEDICAID 03718852

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