Lindenwood Medical Pc

LBN: Lindenwood Medical Pc
Lindenwood Medical Pc is an health care organization with primary practice located at 11 Ralph Pl Ste 112 , Staten Island NY 10304-4408. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Lindenwood Medical Pc can be contacted via phone (718) 954-2202, or through Koroleva, Zoya via phone (718) 954-2202.

Contact Information

Primary practice address
11 Ralph Pl Ste 112 Staten Island NY 10304-4408
Phone: (718) 954-2202
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koroleva, Zoya
Phone: (718) 954-2202

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 251641 New York

Profile Details

NPI number 1811220882
LBN Legal business name Lindenwood Medical Pc
DBA Doing business as
Authorized official Koroleva, Zoya
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2009
Last updated Jan 4th, 2022 - about 2 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 1811220882 NPPES
New York MEDICAID 03130027

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