Queens - Ny Medical, P.C.

LBN: Queens - Ny Medical, P.C.
Queens - Ny Medical, P.C. is an health care organization with primary practice located at 4004 Bowne St Suite 1I, Flushing NY 11354-6143. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Queens - Ny Medical, P.C. can be contacted via phone (718) 539-3359, or through Bronfman, Ida via phone (718) 539-3359.

Contact Information

Primary practice address
4004 Bowne St Suite 1I Flushing NY 11354-6143
Phone: (718) 539-3359
Fax: (718) 358-3837
Website:
Map and Directions
Authorized official contact:
Name: Bronfman, Ida Doctor of Medicine (MD)
Phone: (718) 539-3359

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 199887 New York

Profile Details

NPI number 1316077068
LBN Legal business name Queens - Ny Medical, P.C.
DBA Doing business as
Authorized official Bronfman, Ida Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Sep 14th, 2007 - about 18 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 1316077068 NPPES
New York MEDICAID 02517393
New York MEDICAID 01580827

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