Medman Primary Care Medicine Pc

LBN: Medman Primary Care Medicine Pc
Medman Primary Care Medicine Pc is an health care organization with primary practice located at 2035 Lakeville Rd , New Hyde Park NY 11040-1661. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Medman Primary Care Medicine Pc can be contacted via phone (516) 328-9797, or through Stark, Garry H via phone (516) 328-9797.

Contact Information

Primary practice address
2035 Lakeville Rd New Hyde Park NY 11040-1661
Phone: (516) 328-9797
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stark, Garry H
Phone: (516) 328-9797

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1740422112
LBN Legal business name Medman Primary Care Medicine Pc
DBA Doing business as
Authorized official Stark, Garry H
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2009
Last updated Nov 4th, 2010 - about 14 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 1740422112 NPPES
New York Other 05926I MEDICARE ID
New York MEDICAID 01722870 MEDICARE ID

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