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

Primary practice address
5645 Main St Flushing NY 11355-5045
Phone: (718) 670-1234
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hartofilis, Dora
Phone: (718) 661-8711

Health care specialties

SpecialtyCodeLicense #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 16 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 1306812003 NPPES
New York MEDICAID 01115737

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