Mott Haven Medical Of New York Llc

LBN: Mott Haven Medical Of New York Llc
Mott Haven Medical Of New York Llc is an health care organization with primary practice located at 384 E 149Th St Ste 201 , Bronx NY 10455-3908. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Mott Haven Medical Of New York Llc can be contacted via phone (718) 301-1100, or through Katsnelson, Flora via phone (847) 257-1244.

Contact Information

Primary practice address
384 E 149Th St Ste 201 Bronx NY 10455-3908
Phone: (718) 301-1100
Fax: (224) 246-8042
Website:
Map and Directions
Authorized official contact:
Name: Katsnelson, Flora Doctor of Medicine (MD)
Phone: (847) 257-1244

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1457873234
LBN Legal business name Mott Haven Medical Of New York Llc
DBA Doing business as
Authorized official Katsnelson, Flora Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2017
Last updated Jul 12th, 2017 - 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 1457873234 NPPES
Illinois MEDICAID 036113246

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