Island Medical Group, Pc
LBN: Island Medical Group, Pc
Island Medical Group, Pc is an health care organization with primary practice located at 789 Old Country Rd , Plainview NY 11803-4907. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Island Medical Group, Pc can be contacted via phone (516) 433-3600, or through Bourla, Steven via phone (516) 433-3600.
Contact Information
Primary practice address
789 Old Country Rd
Plainview NY 11803-4907
Phone: (516) 433-3600
Fax: (516) 433-9490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X |
Profile Details
| NPI number | 1356455828 |
|---|---|
| LBN Legal business name | Island Medical Group, Pc |
| DBA Doing business as | |
| Authorized official | Bourla, Steven Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356455828 | NPPES |
| New York | MEDICAID | 00100918 |
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