Woodside Medical Diagnostic, Pc.

LBN: Woodside Medical Diagnostic, Pc.
Woodside Medical Diagnostic, Pc. is an health care organization with primary practice located at 3120 54Th St Suite L2, Woodside NY 11377-1530. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Woodside Medical Diagnostic, Pc. can be contacted via phone (718) 476-5859, or through Dragomir, Endora I. via phone (718) 545-5947.

Contact Information

Primary practice address
3120 54Th St Suite L2 Woodside NY 11377-1530
Fax: (718) 476-9859
Website:
Authorized official contact:
Name: Dragomir, Endora I.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 178659 New York

Profile Details

NPI number 1952505331
LBN Legal business name Woodside Medical Diagnostic, Pc.
DBA Doing business as
Authorized official Dragomir, Endora I.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2007
Last updated Apr 14th, 2010 - about 15 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 1952505331 NPPES
New York MEDICAID 01130987

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