Mk Healthcare Medical Pc

LBN: Mk Healthcare Medical Pc
Mk Healthcare Medical Pc is an health care organization with primary practice located at 5629 Metropolitan Ave , Ridgewood NY 11385. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mk Healthcare Medical Pc can be contacted via phone (718) 418-0300, or through Ambar, Paul via phone (917) 748-1913.

Contact Information

Primary practice address
5629 Metropolitan Ave Ridgewood NY 11385
Fax: (718) 418-0301
Website:
Authorized official contact:
Name: Ambar, Paul

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 149503 New York

Profile Details

NPI number 1316426299
LBN Legal business name Mk Healthcare Medical Pc
DBA Doing business as
Authorized official Ambar, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2018
Last updated Sep 16th, 2022 - about 3 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 1316426299 NPPES
New York MEDICAID 00825003
New York Other 149503

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