Islip Pediatrics Pc

LBN: Islip Pediatrics Pc
Islip Pediatrics Pc is an health care organization with primary practice located at 215 Islip Ave , Islip NY 11751. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Islip Pediatrics Pc can be contacted via phone (631) 277-0558, or through Chong-Gayle, Audrey via phone (631) 277-0558.

Contact Information

Primary practice address
215 Islip Ave Islip NY 11751
Phone: (631) 277-0558
Fax: (631) 277-0978
Website:
Map and Directions
Authorized official contact:
Name: Chong-Gayle, Audrey Doctor of Medicine (MD)
Phone: (631) 277-0558

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 214816 New York

Profile Details

NPI number 1619077070
LBN Legal business name Islip Pediatrics Pc
DBA Doing business as
Authorized official Chong-Gayle, Audrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 16th, 2013 - about 11 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 1619077070 NPPES
New York MEDICAID 02022351

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