Urantia Medical Pc

LBN: Urantia Medical Pc
Urantia Medical Pc is an health care organization with primary practice located at 1295 Northern Blvd Suite 20, Manhasset NY 11030-3035. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Urantia Medical Pc can be contacted via phone (516) 365-4040, or through Fontanez, Modesto via phone (516) 365-4040.

Contact Information

Primary practice address
1295 Northern Blvd Suite 20 Manhasset NY 11030-3035
Phone: (516) 365-4040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fontanez, Modesto Doctor of Medicine (MD)
Phone: (516) 365-4040

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1818101 New York
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1679847008
LBN Legal business name Urantia Medical Pc
DBA Doing business as
Authorized official Fontanez, Modesto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2012
Last updated Mar 23rd, 2012 - about 12 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 1679847008 NPPES
New York MEDICAID 01583586

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