Pederson-Krag Center, Inc

LBN: Pederson-Krag Center Inc
Pederson-Krag Center, Inc is an health care organization with primary practice located at 55 Horizon Dr , Huntington NY 11743-4436. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Pederson-Krag Center Inc can be contacted via phone (631) 920-8000, or through Rivera-Herrera, Jacqueline via phone (347) 542-4217.

Contact Information

Primary practice address
55 Horizon Dr Huntington NY 11743-4436
Fax: (631) 920-8167
Website:
Authorized official contact:
Name: Rivera-Herrera, Jacqueline

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1013964170
LBN Legal business name Pederson-Krag Center Inc
DBA Doing business as Pederson-Krag Center, Inc
Authorized official Rivera-Herrera, Jacqueline
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Mar 3rd, 2015 - about 9 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 1013964170 NPPES
New York MEDICAID 00337004
New York MEDICAID 01819272
New York Other 040403001029
New York Other W02691
New York Other 0007155064
New York MEDICAID 02717417
New York Other 0007525706
New York Other 002875
New York Other 1042840-8842
New York Other 11662
New York MEDICAID 01934014
New York Other 3189305
New York Other ANC1285
New York Other 0007632069
New York Other 001728
New York Other 038080
New York Other DA1829
New York MEDICAID 01556532

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