Patchogue Pediatrics Pc

LBN: Patchogue Pediatrics Pc
Patchogue Pediatrics Pc is an health care organization with primary practice located at 264 Sills Rd , East Patchogue NY 11772-8804. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Patchogue Pediatrics Pc can be contacted via phone (631) 504-6261, or through Chong-Gayle, Audrey A via phone (631) 504-6261.

Contact Information

Primary practice address
264 Sills Rd East Patchogue NY 11772-8804
Phone: (631) 504-6261
Fax: (631) 504-6263
Website:
Map and Directions
Authorized official contact:
Name: Chong-Gayle, Audrey A Doctor of Medicine (MD)
Phone: (631) 504-6261

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1396178000
LBN Legal business name Patchogue Pediatrics Pc
DBA Doing business as
Authorized official Chong-Gayle, Audrey A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2013
Last updated Aug 16th, 2013 - about 12 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 1396178000 NPPES
New York MEDICAID 02022351

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