Nova Vita Medical Pc
LBN: Nova Vita Medical Pc
Nova Vita Medical Pc is an health care organization with primary practice located at 887 Rutland Rd , Brooklyn NY 11203. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Allergy & Immunology is the primary health care specialty.
Nova Vita Medical Pc can be contacted via phone (347) 627-6385, or through Udoyen, Ubong Jackson via phone (803) 269-7381.
Contact Information
Primary practice address
887 Rutland Rd
Brooklyn NY 11203
Phone: (347) 627-6385
Fax: (347) 413-9888
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
NPI number | 1760907166 |
---|---|
LBN Legal business name | Nova Vita Medical Pc |
DBA Doing business as | |
Authorized official | Udoyen, Ubong Jackson |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 7th, 2017 |
Last updated | May 22nd, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760907166 | NPPES |
New York | Other | 265463 | STATE LICENSE |
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