Michael Y Ivry Dds Pc

LBN: Michael Y Ivry Dds Pc
Michael Y Ivry Dds Pc is an health care organization with primary practice located at 2550 Seagirt Blvd , Far Rockaway NY 11691. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty. Michael Y Ivry Dds Pc can be contacted via phone (718) 327-2147, or through Ivry, Michael Yehuda via phone (631) 252-2076.

Contact Information

Primary practice address
2550 Seagirt Blvd Far Rockaway NY 11691
Fax:
Website:
Authorized official contact:
Name: Ivry, Michael Yehuda Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 047962 New York

Profile Details

NPI number 1336631035
LBN Legal business name Michael Y Ivry Dds Pc
DBA Doing business as
Authorized official Ivry, Michael Yehuda Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2018
Last updated May 30th, 2018 - about 7 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 1336631035 NPPES
New York MEDICAID 1154509503

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