S Madhusoodanan Md Pc

LBN: S Madhusoodanan Md Pc
S Madhusoodanan Md Pc is an health care organization with primary practice located at St Johns Episcopal Hospital 327 Beach Channel Drive , Far Rockaway NY 11691-1511. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. S Madhusoodanan Md Pc can be contacted via phone (718) 869-7000, or through Madhusoodanan, Subramoniam via phone (516) 371-1804.

Contact Information

Primary practice address
St Johns Episcopal Hospital 327 Beach Channel Drive Far Rockaway NY 11691-1511
Phone: (718) 869-7000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Madhusoodanan, Subramoniam Doctor of Medicine (MD)
Phone: (516) 371-1804

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 138957 New York

Profile Details

NPI number 1629069901
LBN Legal business name S Madhusoodanan Md Pc
DBA Doing business as
Authorized official Madhusoodanan, Subramoniam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2005
Last updated Mar 17th, 2018 - about 7 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 1629069901 NPPES
New York MEDICAID 02558818

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