Iyar Medical Pc

LBN: Iyar Medical Pc
Iyar Medical Pc is an health care organization with primary practice located at 7235 112Th St Suite # Pr9,, Forest Hills NY 11375-5469. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Iyar Medical Pc can be contacted via phone (877) 849-4917, or through Lagoduke, Nikolai via phone (877) 849-4917.

Contact Information

Primary practice address
7235 112Th St Suite # Pr9, Forest Hills NY 11375-5469
Phone: (877) 849-4917
Fax: (877) 949-4917
Website:
Map and Directions
Authorized official contact:
Name: Lagoduke, Nikolai Doctor of Medicine (MD)
Phone: (877) 849-4917

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 233906 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 030904 New York

Profile Details

NPI number 1952441420
LBN Legal business name Iyar Medical Pc
DBA Doing business as
Authorized official Lagoduke, Nikolai Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 14th, 2009 - about 15 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 1952441420 NPPES
New York Other 000399390201 HEALTHPLUS
New York Other 179953 HEALTHPLUS
New York Other 268SV1 HEALTHPLUS
New York Other P3725574 HEALTHPLUS
New York Other PCP ID# 5416260001 HEALTHPLUS
New York MEDICAID 02619565 HEALTHPLUS
New York Other 000000119919 HEALTHPLUS
New York Other 00002513975 09 HEALTHPLUS
New York Other 11P12182 HEALTHPLUS
New York Other 233906 HEALTHPLUS
New York Other 6C5025 HEALTHPLUS

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