Plaza One Medical Healthcare Pc

LBN: Plaza One Medical Healthcare Pc
Plaza One Medical Healthcare Pc is an health care organization with primary practice located at 835 61St St 2Nd Floor, Brooklyn NY 11220-4312. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Plaza One Medical Healthcare Pc can be contacted via phone (718) 854-8869, or through Cubangbang, Dante Acebo via phone (718) 854-8869.

Contact Information

Primary practice address
835 61St St 2Nd Floor Brooklyn NY 11220-4312
Fax: (718) 854-8861
Website:
Authorized official contact:
Name: Cubangbang, Dante Acebo Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 234017 New York

Profile Details

NPI number 1932422680
LBN Legal business name Plaza One Medical Healthcare Pc
DBA Doing business as
Authorized official Cubangbang, Dante Acebo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2010
Last updated Nov 15th, 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 1932422680 NPPES
New York MEDICAID 02623398

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