Physical Medicine & Diagnostic Testing Pc

LBN: Physical Medicine & Diagnostic Testing Pc
Physical Medicine & Diagnostic Testing Pc is an health care organization with primary practice located at 54 Dolson Ave , Middletown NY 10940-6424. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Physical Medicine & Diagnostic Testing Pc can be contacted via phone (845) 342-1247, or through Burt, Clifton Daniel via phone (845) 342-0746.

Contact Information

Primary practice address
54 Dolson Ave Middletown NY 10940-6424
Phone: (845) 342-1247
Fax: (845) 342-1397
Website:
Map and Directions
Authorized official contact:
Name: Burt, Clifton Daniel Doctor of Medicine (MD)
Phone: (845) 342-0746

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 251765 New York

Profile Details

NPI number 1598041428
LBN Legal business name Physical Medicine & Diagnostic Testing Pc
DBA Doing business as
Authorized official Burt, Clifton Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2011
Last updated Oct 24th, 2011 - about 14 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 1598041428 NPPES
New York Other 1588843163 NPI
New York Other 2517654W NPI

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