Physicians Medical Group Pc

LBN: Physicians Medical Group Pc
Physicians Medical Group Pc is an health care organization with primary practice located at 4303 14Th Ave , Brooklyn NY 11219-1429. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Physicians Medical Group Pc can be contacted via phone (718) 436-7800, or through Wieder, David via phone (718) 436-7800.

Contact Information

Primary practice address
4303 14Th Ave Brooklyn NY 11219-1429
Phone: (718) 436-7800
Fax: (718) 436-6507
Website:
Map and Directions
Authorized official contact:
Name: Wieder, David
Phone: (718) 436-7800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1174500938
LBN Legal business name Physicians Medical Group Pc
DBA Doing business as
Authorized official Wieder, David
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Aug 22nd, 2020 - about 5 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 1174500938 NPPES
New York MEDICAID 01106752

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