Sisselman Medical Group, Pc
LBN: Sisselman Medical Group, Pc
Sisselman Medical Group, Pc is an health care organization with primary practice located at 627 Broadway Suite 1, Massapequa NY 11758-5031. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Sisselman Medical Group, Pc can be contacted via phone (516) 308-4040, or through Sisselman, Stephen via phone (516) 308-4040.
Contact Information
Primary practice address
627 Broadway Suite 1
Massapequa NY 11758-5031
Phone: (516) 308-4040
Fax: (516) 804-6386
Website:
Authorized official contact:
Name: Sisselman, Stephen Doctor of Osteopathy (DO)
Phone: (516) 308-4040
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 216154 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 216161 | New York |
Profile Details
| NPI number | 1851572358 |
|---|---|
| LBN Legal business name | Sisselman Medical Group, Pc |
| DBA Doing business as | |
| Authorized official | Sisselman, Stephen Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 26th, 2007 |
| Last updated | Oct 12th, 2022 - about 2 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 | 1851572358 | NPPES |
| New York | MEDICAID | 05215494 |
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