Forest Hills Pet Imaging Pc

LBN: Premier Pet Management Of Queens Llc
Forest Hills Pet Imaging Pc is an health care organization with primary practice located at 10202 Queens Blvd , Forest Hills NY 11375-3197. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Premier Pet Management Of Queens Llc can be contacted via phone (718) 896-7600, or through Taverna, Lucille Patricia via phone (516) 255-9555.

Contact Information

Primary practice address
10202 Queens Blvd Forest Hills NY 11375-3197
Fax: (718) 896-7601
Website:
Authorized official contact:
Name: Taverna, Lucille Patricia Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 1124741 New York

Profile Details

NPI number 1598830424
LBN Legal business name Premier Pet Management Of Queens Llc
DBA Doing business as Forest Hills Pet Imaging Pc
Authorized official Taverna, Lucille Patricia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2006
Last updated Oct 10th, 2007 - about 17 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 1598830424 NPPES
New York MEDICAID 00380218

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