Island Medical Care

LBN: Mid-Suffolk Medical Care Pc
Island Medical Care is an health care organization with primary practice located at 6277 Jericho Tpke , Commack NY 11725-2837. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Mid-Suffolk Medical Care Pc can be contacted via phone (631) 462-6644, or through Azaz, Mohammed R via phone (631) 462-6644.

Contact Information

Primary practice address
6277 Jericho Tpke Commack NY 11725-2837
Phone: (631) 462-6644
Fax: (631) 462-9890
Website:
Map and Directions
Authorized official contact:
Name: Azaz, Mohammed R Doctor of Medicine (MD)
Phone: (631) 462-6644

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 220310 New York

Profile Details

NPI number 1811186083
LBN Legal business name Mid-Suffolk Medical Care Pc
DBA Doing business as Island Medical Care
Authorized official Azaz, Mohammed R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2007
Last updated Jan 8th, 2020 - about 5 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 1811186083 NPPES
New York MEDICAID 02131226

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