Mount Vernon Physician Group

LBN: Mount Vernon Neighborhood Health Center Inc
Mount Vernon Physician Group is an health care organization with primary practice located at 107 W 4Th St Administration, Mount Vernon NY 10550-4002. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mount Vernon Neighborhood Health Center Inc can be contacted via phone (914) 699-7200, or through Lewis, Maxine via phone (914) 989-7600.

Contact Information

Primary practice address
107 W 4Th St Administration Mount Vernon NY 10550-4002
Phone: (914) 699-7200
Fax: (914) 699-0837
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Maxine
Phone: (914) 989-7600

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5903200R New York

Profile Details

NPI number 1295912541
LBN Legal business name Mount Vernon Neighborhood Health Center Inc
DBA Doing business as Mount Vernon Physician Group
Authorized official Lewis, Maxine
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 29th, 2008
Last updated Sep 1st, 2021 - 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 1295912541 NPPES
New York MEDICAID 02995522

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