Lilia B Idanan Physician, Pc

LBN: Lilia B Idanan Physician, Pc
Lilia B Idanan Physician, Pc is an health care organization with primary practice located at 9715 64Th Rd , Rego Park NY 11374-2250. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Lilia B Idanan Physician, Pc can be contacted via phone (718) 275-1200, or through Idanan, Lilia via phone (212) 255-2333.

Contact Information

Primary practice address
9715 64Th Rd Rego Park NY 11374-2250
Phone: (718) 275-1200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Idanan, Lilia Doctor of Medicine (MD)
Phone: (212) 255-2333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 184732 New York

Profile Details

NPI number 1548353964
LBN Legal business name Lilia B Idanan Physician, Pc
DBA Doing business as
Authorized official Idanan, Lilia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Jul 16th, 2008 - about 17 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 1548353964 NPPES
New York MEDICAID 01922334
New York Other 184732P
New York Other 2591372
New York Other 226AY1
New York Other 289030201
New York Other 450538
New York Other 0100331
New York Other 1112538
New York Other 177179
New York Other P2457769

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