Queens Rego Medical Pc

LBN: Queens Rego Medical Pc
Queens Rego Medical Pc is an health care organization with primary practice located at 9520 63Rd Rd Ste H , Rego Park NY 11374-1145. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Queens Rego Medical Pc can be contacted via phone (646) 301-2578, or through Shalts, Edward via phone (646) 301-2578.

Contact Information

Primary practice address
9520 63Rd Rd Ste H Rego Park NY 11374-1145
Phone: (646) 301-2578
Fax: (866) 310-5525
Website:
Map and Directions
Authorized official contact:
Name: Shalts, Edward Doctor of Medicine (MD)
Phone: (646) 301-2578

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1962914721
LBN Legal business name Queens Rego Medical Pc
DBA Doing business as
Authorized official Shalts, Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2017
Last updated Nov 1st, 2017 - about 8 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 1962914721 NPPES
New York MEDICAID 01807432

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