Womack Internal Medicine, Pllc

LBN: Womack Primary Medical Care, Pllc
Womack Internal Medicine, Pllc is an health care organization with primary practice located at 400 Montauk Hwy Ste 111, West Islip NY 11795-4429. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Womack Primary Medical Care, Pllc can be contacted via phone (631) 277-0051, or through Womack, Lawrence H via phone (631) 277-0051.

Contact Information

Primary practice address
400 Montauk Hwy Ste 111 West Islip NY 11795-4429
Fax: (631) 277-2690
Website:
Authorized official contact:
Name: Womack, Lawrence H Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223075 New York

Profile Details

NPI number 1902903800
LBN Legal business name Womack Primary Medical Care, Pllc
DBA Doing business as Womack Internal Medicine, Pllc
Authorized official Womack, Lawrence H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 12th, 2017 - about 7 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 1902903800 NPPES
New York Other 3298766 AETNA/US HEALTHCARE
New York Other 153114 AETNA/US HEALTHCARE
New York MEDICAID 02214588 AETNA/US HEALTHCARE
New York Other P00165433 AETNA/US HEALTHCARE
New York Other P2912790 AETNA/US HEALTHCARE

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