South Nassau Physician Practice Pc

LBN: South Nassau Physician Practice Pc
South Nassau Physician Practice Pc is an health care organization with primary practice located at 1 S Central Ave , Valley Stream NY 11580-5443. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. South Nassau Physician Practice Pc can be contacted via phone (516) 632-3350, or through Datta, Rajiv V via phone (516) 632-3350.

Contact Information

Primary practice address
1 S Central Ave Valley Stream NY 11580-5443
Phone: (516) 632-3350
Fax: (516) 632-3355
Website:
Map and Directions
Authorized official contact:
Name: Datta, Rajiv V Doctor of Medicine (MD)
Phone: (516) 632-3350

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 201327 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 200879 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 242239 New York

Profile Details

NPI number 1962652685
LBN Legal business name South Nassau Physician Practice Pc
DBA Doing business as
Authorized official Datta, Rajiv V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2008
Last updated Sep 30th, 2008 - about 17 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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