Marina I Peredo Md Pc

LBN: Marina I Peredo Md Pc
Marina I Peredo Md Pc is an health care organization with primary practice located at 260 Middle Country Rd Ste 208, Smithtown NY 11787. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Marina I Peredo Md Pc can be contacted via phone (631) 863-3223, or through Peredo, Marina I via phone (631) 863-3221.

Contact Information

Primary practice address
260 Middle Country Rd Ste 208 Smithtown NY 11787
Phone: (631) 863-3223
Fax: (631) 863-3334
Website:
Map and Directions
Authorized official contact:
Name: Peredo, Marina I MD PC
Phone: (631) 863-3221

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 190716 New York

Profile Details

NPI number 1427026392
LBN Legal business name Marina I Peredo Md Pc
DBA Doing business as
Authorized official Peredo, Marina I MD PC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 10th, 2008 - 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 1427026392 NPPES
New York MEDICAID 01836915

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