Millennium Medical Group Pc

LBN: Millennium Medical Group Pc
Millennium Medical Group Pc is an health care organization with primary practice located at 93-20A Roosevelt Ave. 2Nd Floor, Jackson Heights NY 11372-7904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Millennium Medical Group Pc can be contacted via phone (718) 404-9157, or through Fulgencio-Delmonte, Jose A via phone (718) 404-9157.

Contact Information

Primary practice address
93-20A Roosevelt Ave. 2Nd Floor Jackson Heights NY 11372-7904
Phone: (718) 404-9157
Fax: (718) 424-0414
Website:
Map and Directions
Authorized official contact:
Name: Fulgencio-Delmonte, Jose A Doctor of Medicine (MD)
Phone: (718) 404-9157

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 203635 New York

Profile Details

NPI number 1386725695
LBN Legal business name Millennium Medical Group Pc
DBA Doing business as
Authorized official Fulgencio-Delmonte, Jose A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Dec 17th, 2015 - about 9 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 1386725695 NPPES
New York MEDICAID 01664373

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