Medicine Specialty Group At Lich

LBN: Long Island College Hospital
Medicine Specialty Group At Lich is an health care organization with primary practice located at 97 Amity St , Brooklyn NY 11201-6004. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty. Long Island College Hospital can be contacted via phone (718) 780-2155, or through Privman, Vladimir via phone (718) 780-2155.

Contact Information

Primary practice address
97 Amity St Brooklyn NY 11201-6004
Fax:
Website:
Authorized official contact:
Name: Privman, Vladimir Doctor of Medicine (MD)

Profile Details

NPI number 1003863820
LBN Legal business name Long Island College Hospital
DBA Doing business as Medicine Specialty Group At Lich
Authorized official Privman, Vladimir Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Nov 3rd, 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 1003863820 NPPES
New York MEDICAID 02420102

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