South Beach Medical Pc

LBN: South Beach Medical Pc
South Beach Medical Pc 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 / Internal Medicine, which is considered as the primary health care specialty. South Beach Medical Pc can be contacted via phone (718) 869-7641, or through Garcia, Kathleen E via phone (718) 869-7641.

Contact Information

Primary practice address
327 Beach 19Th St Far Rockaway NY 11691-4423
Phone: (718) 869-7641
Fax: (718) 869-8507
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Kathleen E
Phone: (718) 869-7641

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 910124000045 New York

Profile Details

NPI number 1699872499
LBN Legal business name South Beach Medical Pc
DBA Doing business as
Authorized official Garcia, Kathleen E
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699872499 NPPES
New York MEDICAID 01246928

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