Premium Medical Of New York Pc

LBN: Premium Medical Of New York Pc
Premium Medical Of New York Pc is an health care organization with primary practice located at 147-09 Elm Ave , Flushing NY 11355. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Premium Medical Of New York Pc can be contacted via phone (718) 463-2630, or through Georgiou, Christopher via phone (718) 463-2630.

Contact Information

Primary practice address
147-09 Elm Ave Flushing NY 11355
Phone: (718) 463-2630
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Georgiou, Christopher
Phone: (718) 463-2630

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 1937884 New York

Profile Details

NPI number 1386719557
LBN Legal business name Premium Medical Of New York Pc
DBA Doing business as
Authorized official Georgiou, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
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 1386719557 NPPES
New York MEDICAID 01685730

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