Mount Sinai Queens Faculty Practice Group

LBN: Mount Sinai Queens Faculty Practice Group
Mount Sinai Queens Faculty Practice Group is an health care organization with primary practice located at 8268 164Th St Room B265, Jamaica NY 11432-1121. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Mount Sinai Queens Faculty Practice Group can be contacted via phone (718) 883-3000, or through Rehwaldt, Lise Mary via phone (718) 883-3000.

Contact Information

Primary practice address
8268 164Th St Room B265 Jamaica NY 11432-1121
Fax: (718) 883-6129
Website:
Authorized official contact:
Name: Rehwaldt, Lise Mary Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1699883884
LBN Legal business name Mount Sinai Queens Faculty Practice Group
DBA Doing business as
Authorized official Rehwaldt, Lise Mary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2006
Last updated Aug 22nd, 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 1699883884 NPPES
New York MEDICAID 01415172

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