St Mary'S Community Care Professional, Corp.

LBN: St Mary'S Community Care Professional, Corp.
St Mary'S Community Care Professional, Corp. is an health care organization with primary practice located at 9131 Queens Blvd Suite 201, Elmhurst NY 11373-5555. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. St Mary'S Community Care Professional, Corp. can be contacted via phone (718) 819-2713, or through Altidor, Frederique via phone (718) 281-8688.

Contact Information

Primary practice address
9131 Queens Blvd Suite 201 Elmhurst NY 11373-5555
Phone: (718) 819-2713
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Altidor, Frederique
Phone: (718) 281-8688

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1063635142
LBN Legal business name St Mary'S Community Care Professional, Corp.
DBA Doing business as
Authorized official Altidor, Frederique
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Apr 12th, 2013 - about 11 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 1063635142 NPPES
New York MEDICAID 01783504

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