Island Rheumatology And Osteoporosis, Pc

LBN: Island Rheumatology And Osteoporosis, Pc
Island Rheumatology And Osteoporosis, Pc is an health care organization with primary practice located at 6144 Route 25A Ste 13 , Wading River NY 11792. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as the primary health care specialty. Island Rheumatology And Osteoporosis, Pc can be contacted via phone (631) 886-2488, or through Godhwani, Sanjay via phone (631) 886-2844.

Contact Information

Primary practice address
6144 Route 25A Ste 13 Wading River NY 11792
Phone: (631) 886-2488
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Godhwani, Sanjay Doctor of Medicine (MD)
Phone: (631) 886-2844

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X

Profile Details

NPI number 1386158764
LBN Legal business name Island Rheumatology And Osteoporosis, Pc
DBA Doing business as
Authorized official Godhwani, Sanjay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2017
Last updated Jun 21st, 2018 - 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 1386158764 NPPES
New York MEDICAID 03497523

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