Rockaway Physician Pllc

LBN: Rockaway Physician Pllc
Rockaway Physician Pllc is an health care organization with primary practice located at 327 Beach 19Th St , Far Rockaway NY 11691-4423. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Rockaway Physician Pllc can be contacted via phone (718) 869-7223, or through Familusi, Abiola via phone (718) 327-3722.

Contact Information

Primary practice address
327 Beach 19Th St Far Rockaway NY 11691-4423
Phone: (718) 869-7223
Fax: (718) 869-7176
Website:
Map and Directions
Authorized official contact:
Name: Familusi, Abiola Doctor of Medicine (MD)
Phone: (718) 327-3722

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1962524447
LBN Legal business name Rockaway Physician Pllc
DBA Doing business as
Authorized official Familusi, Abiola Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
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 1962524447 NPPES
New York MEDICAID 02593557

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