St. Petersburg Medical Care Llc
LBN: St. Petersburg Medical Care Llc
St. Petersburg Medical Care Llc is an health care organization with primary practice located at 225 East Ave , Lockport NY 14094-3812. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is the primary health care specialty.
St. Petersburg Medical Care Llc can be contacted via phone (716) 438-3546, or through Khalaf, Mohamed via phone (716) 438-3546.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 202334 | New York |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 202334 | New York |
Profile Details
| NPI number | 1437609807 |
|---|---|
| LBN Legal business name | St. Petersburg Medical Care Llc |
| DBA Doing business as | |
| Authorized official | Khalaf, Mohamed Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2016 |
| Last updated | Oct 10th, 2016 - about 9 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 | 1437609807 | NPPES |
| New York | MEDICAID | 01636066 |
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