Main Street Medical, Pc
LBN: Main Street Medical, Pc
Main Street Medical, Pc is an health care organization with primary practice located at 5645 Main St , Flushing NY 11355-5045. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Main Street Medical, Pc can be contacted via phone (718) 670-1234, or through Hartofilis, Dora via phone (718) 661-8711.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X |
Profile Details
| NPI number | 1306812003 |
|---|---|
| LBN Legal business name | Main Street Medical, Pc |
| DBA Doing business as | |
| Authorized official | Hartofilis, Dora |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Dec 22nd, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306812003 | NPPES |
| New York | MEDICAID | 01115737 |
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