Mesbah Medical Pc

LBN: Mesbah Medical Pc
Mesbah Medical Pc is an health care organization with primary practice located at 10 Walnut Dr , Roslyn NY 11576-2333. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mesbah Medical Pc can be contacted via phone (310) 922-2446, or through Mesbah, Reza via phone (310) 922-2446.

Contact Information

Primary practice address
10 Walnut Dr Roslyn NY 11576-2333
Fax: (718) 526-7438
Website:
Authorized official contact:
Name: Mesbah, Reza Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 261697 New York

Profile Details

NPI number 1174962641
LBN Legal business name Mesbah Medical Pc
DBA Doing business as
Authorized official Mesbah, Reza Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2013
Last updated Jan 24th, 2024 - about last year

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 1174962641 NPPES
New York MEDICAID 03375697

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