Island Of Health Medical Pc

LBN: Island Of Health Medical Pc
Island Of Health Medical Pc is an health care organization with primary practice located at 8002 165 St. Union Tnpk , Jamaica NY 11432. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Island Of Health Medical Pc can be contacted via phone (718) 380-7000, or through Kleyn, Ilya via phone (917) 554-5735.

Contact Information

Primary practice address
8002 165 St. Union Tnpk Jamaica NY 11432
Phone: (718) 380-7000
Fax: (212) 791-3388
Website:
Map and Directions
Authorized official contact:
Name: Kleyn, Ilya
Phone: (917) 554-5735

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 215006 New York

Profile Details

NPI number 1750470514
LBN Legal business name Island Of Health Medical Pc
DBA Doing business as
Authorized official Kleyn, Ilya
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 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 1750470514 NPPES
New York MEDICAID 02091596

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