Medalliance Medical Health Services Inc

LBN: Medalliance Medical Health Services Inc
Medalliance Medical Health Services Inc is an health care organization with primary practice located at 625 E Fordham Rd , Bronx NY 10458-5049. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Medalliance Medical Health Services Inc can be contacted via phone (718) 933-1900, or through Daneshvar, Shahriar via phone (718) 933-1900.

Contact Information

Primary practice address
625 E Fordham Rd Bronx NY 10458-5049
Phone: (718) 933-1900
Fax: (718) 563-4039
Website:
Map and Directions
Authorized official contact:
Name: Daneshvar, Shahriar CASC
Phone: (718) 933-1900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 0261903 New York

Profile Details

NPI number 1558356741
LBN Legal business name Medalliance Medical Health Services Inc
DBA Doing business as
Authorized official Daneshvar, Shahriar CASC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2005
Last updated Dec 30th, 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 1558356741 NPPES
New York MEDICAID 02619203

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