The Ciit Center Of Center Moriches

LBN: Imam Medical Pc
The Ciit Center Of Center Moriches is an health care organization with primary practice located at 2 Union Ave , Center Moriches NY 11934-3324. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Imam Medical Pc can be contacted via phone (631) 645-3613, or through Weitzberg, Bruce via phone (516) 243-8660.

Contact Information

Primary practice address
2 Union Ave Center Moriches NY 11934-3324
Fax:
Website:
Authorized official contact:
Name: Weitzberg, Bruce

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 159557-1 New York

Profile Details

NPI number 1386181840
LBN Legal business name Imam Medical Pc
DBA Doing business as The Ciit Center Of Center Moriches
Authorized official Weitzberg, Bruce
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2017
Last updated Feb 21st, 2017 - about 7 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 1386181840 NPPES
New York MEDICAID 1144394826

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