Meyerovich Medical & Diagnostic Pc

LBN: Meyerovich Medical & Diagnostic Pc
Meyerovich Medical & Diagnostic Pc is an health care organization with primary practice located at 9811 Queens Blvd Suite 1E, Rego Park NY 11374-3323. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Meyerovich Medical & Diagnostic Pc can be contacted via phone (718) 830-0400, or through Meyerovich, Inessa via phone (718) 830-0400.

Contact Information

Primary practice address
9811 Queens Blvd Suite 1E Rego Park NY 11374-3323
Fax: (718) 830-0005
Website:
Authorized official contact:
Name: Meyerovich, Inessa Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 217870 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 218770 New York

Profile Details

NPI number 1689886079
LBN Legal business name Meyerovich Medical & Diagnostic Pc
DBA Doing business as
Authorized official Meyerovich, Inessa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2007
Last updated Jan 24th, 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 1689886079 NPPES
New York MEDICAID 02228682

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