New Berlin Family Practice

LBN: New Berlin Family Practice
New Berlin Family Practice is an health care organization with primary practice located at 4 Terrace Hts , New Berlin NY 13411-9514. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. New Berlin Family Practice can be contacted via phone (607) 847-6750, or through Halbert, Roger J. via phone (607) 847-7000.

Contact Information

Primary practice address
4 Terrace Hts New Berlin NY 13411-9514
Phone: (607) 847-6750
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Halbert, Roger J.
Phone: (607) 847-7000

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1003869066
LBN Legal business name New Berlin Family Practice
DBA Doing business as
Authorized official Halbert, Roger J.
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1003869066 NPPES
New York MEDICAID 02160938

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