Lsa

LBN: Lsa
Lsa is an health care organization with primary practice located at 1300 Avenue P , Brooklyn NY 11229-1106. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Lsa can be contacted via phone (718) 645-9183, or through Jorges, Ertuana via phone (973) 342-9106.

Contact Information

Primary practice address
1300 Avenue P Brooklyn NY 11229-1106
Phone: (718) 645-9183
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jorges, Ertuana CASAC G
Phone: (973) 342-9106

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 261QR0401X New York

Profile Details

NPI number 1790145852
LBN Legal business name Lsa
DBA Doing business as
Authorized official Jorges, Ertuana CASAC G
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2016
Last updated Mar 2nd, 2016 - about 8 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 1790145852 NPPES
New York MEDICAID 74902217

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