Raphael Novogrodsky Md Pc

LBN: Raphael Novogrodsky Md Pc
Raphael Novogrodsky Md Pc is an health care organization with primary practice located at 1250 Waters Pl Suite 1207, Bronx NY 10461. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Raphael Novogrodsky Md Pc can be contacted via phone (718) 684-4482, or through Novogrodsky, Raphael via phone (201) 638-3640.

Contact Information

Primary practice address
1250 Waters Pl Suite 1207 Bronx NY 10461
Phone: (718) 684-4482
Fax: (718) 918-9778
Website:
Map and Directions
Authorized official contact:
Name: Novogrodsky, Raphael Doctor of Medicine (MD)
Phone: (201) 638-3640

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1245916014
LBN Legal business name Raphael Novogrodsky Md Pc
DBA Doing business as
Authorized official Novogrodsky, Raphael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2023
Last updated Jun 26th, 2023 - about last year

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 1245916014 NPPES
New York MEDICAID 01497323

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