Monroe Primary Care Medical Pc

LBN: Monroe Primary Care Medical Pc
Monroe Primary Care Medical Pc is an health care organization with primary practice located at 745 Route 17M Suite 202, Monroe NY 10950-2660. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Monroe Primary Care Medical Pc can be contacted via phone (845) 782-1714, or through Lavotshkin, Boris via phone (845) 782-1714.

Contact Information

Primary practice address
745 Route 17M Suite 202 Monroe NY 10950-2660
Phone: (845) 782-1714
Fax: (845) 782-6648
Website:
Map and Directions
Authorized official contact:
Name: Lavotshkin, Boris Doctor of Medicine (MD)
Phone: (845) 782-1714

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 61220 New York

Profile Details

NPI number 1578631669
LBN Legal business name Monroe Primary Care Medical Pc
DBA Doing business as
Authorized official Lavotshkin, Boris Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 6th, 2012 - about 12 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 1578631669 NPPES
New York MEDICAID 02182598

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