Metro Medical Practice Pc

LBN: Metro Medical Practice Pc
Metro Medical Practice Pc is an health care organization with primary practice located at 11607 Metropolitan Ave Ste 102 , Kew Gardens NY 11418-1018. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Metro Medical Practice Pc can be contacted via phone (718) 850-9225, or through Wallach, Nancy via phone (718) 850-9225.

Contact Information

Primary practice address
11607 Metropolitan Ave Ste 102 Kew Gardens NY 11418-1018
Phone: (718) 850-9225
Fax: (718) 850-9226
Website:
Map and Directions
Authorized official contact:
Name: Wallach, Nancy Doctor of Medicine (MD)
Phone: (718) 850-9225

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1063098945
LBN Legal business name Metro Medical Practice Pc
DBA Doing business as
Authorized official Wallach, Nancy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2021
Last updated May 29th, 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 1063098945 NPPES
New York MEDICAID 02244920

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