Ma.Lourdes Castillo Gonzales,Md,Pc

LBN: Ma.Lourdes Castillo Gonzales,Md,Pc
Ma.Lourdes Castillo Gonzales,Md,Pc is an health care organization with primary practice located at 17013 Hillside Ave , Jamaica NY 11432-4546. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Other Service Providers / Specialist is the primary health care specialty. Ma.Lourdes Castillo Gonzales,Md,Pc can be contacted via phone (516) 472-1710, or through Gonzales, Ma.Lourdes C via phone (516) 472-1710.

Contact Information

Primary practice address
17013 Hillside Ave Jamaica NY 11432-4546
Phone: (516) 472-1710
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonzales, Ma.Lourdes C Doctor of Medicine (MD)
Phone: (516) 472-1710

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 243713 New York
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 243713 New York

Profile Details

NPI number 1114263332
LBN Legal business name Ma.Lourdes Castillo Gonzales,Md,Pc
DBA Doing business as
Authorized official Gonzales, Ma.Lourdes C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2012
Last updated Mar 23rd, 2014 - about 10 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 1114263332 NPPES
New York MEDICAID 03380123
New York Other 243713

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