Setauket Primary Medical Care Pc
LBN: Setauket Primary Medical Care Pc
Setauket Primary Medical Care Pc is an health care organization with primary practice located at 12 Brewster Ln , East Setauket NY 11733-2922. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Setauket Primary Medical Care Pc can be contacted via phone (631) 941-4480, or through Adams, Tanya via phone (631) 941-4480.
Contact Information
Primary practice address
12 Brewster Ln
East Setauket NY 11733-2922
Phone: (631) 941-4480
Fax: (631) 941-4054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2278671 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4893961 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F334091 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F3040001 | New York |
Profile Details
| NPI number | 1649369067 |
|---|---|
| LBN Legal business name | Setauket Primary Medical Care Pc |
| DBA Doing business as | |
| Authorized official | Adams, Tanya Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649369067 | NPPES |
| New York | Other | DC2402 | MEDICARE RAIL ROAD |
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