Juan A Medina Medical Office Pc

LBN: Juan A Medina Medical Office Pc
Juan A Medina Medical Office Pc is an health care organization with primary practice located at 870 Central Ave , Far Rockaway NY 11691-4660. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Juan A Medina Medical Office Pc can be contacted via phone (718) 327-3458, or through Medina, Juan Antonio via phone (718) 327-3458.

Contact Information

Primary practice address
870 Central Ave Far Rockaway NY 11691-4660
Phone: (718) 327-3458
Fax: (718) 337-2390
Website:
Map and Directions
Authorized official contact:
Name: Medina, Juan Antonio Doctor of Medicine (MD)
Phone: (718) 327-3458

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 245701 New York

Profile Details

NPI number 1477868032
LBN Legal business name Juan A Medina Medical Office Pc
DBA Doing business as
Authorized official Medina, Juan Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2010
Last updated Aug 6th, 2010 - about 14 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 1477868032 NPPES
New York MEDICAID 02989077

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