Pediatric&Adolescent Medical Care Pllc

LBN: Pediatric&Adolescent Medical Care Pllc
Pediatric&Adolescent Medical Care Pllc is an health care organization with primary practice located at 450 76Th St , Brooklyn NY 11209-3204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Pediatric&Adolescent Medical Care Pllc can be contacted via phone (718) 333-5483, or through Ghaly, Emad via phone (718) 333-5483.

Contact Information

Primary practice address
450 76Th St Brooklyn NY 11209-3204
Phone: (718) 333-5483
Fax: (718) 980-0085
Website:
Map and Directions
Authorized official contact:
Name: Ghaly, Emad Doctor of Medicine (MD)
Phone: (718) 333-5483

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 219864 New York

Profile Details

NPI number 1699103879
LBN Legal business name Pediatric&Adolescent Medical Care Pllc
DBA Doing business as
Authorized official Ghaly, Emad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2013
Last updated Oct 24th, 2013 - about 11 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 1699103879 NPPES
New York MEDICAID 01928032
New York Other 219864

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