Broadway Medical Care

LBN: Pelham Pkway Neurology And Diagnostic, Pc
Broadway Medical Care is an health care organization with primary practice located at 41-14 Judge Street , Elmhurst NY 11373-2344. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pelham Pkway Neurology And Diagnostic, Pc can be contacted via phone (516) 620-4246, or through Jalal, Syed M via phone (516) 620-4246.

Contact Information

Primary practice address
41-14 Judge Street Elmhurst NY 11373-2344
Fax: (516) 620-6807
Website:
Authorized official contact:
Name: Jalal, Syed M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 206287 New York

Profile Details

NPI number 1609015395
LBN Legal business name Pelham Pkway Neurology And Diagnostic, Pc
DBA Doing business as Broadway Medical Care
Authorized official Jalal, Syed M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2009
Last updated Feb 19th, 2009 - about 16 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 1609015395 NPPES
New York MEDICAID 01872788

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