112 Gvr Medical, Pc

LBN: 112 Gvr Medical, Pc
112 Gvr Medical, Pc is an health care organization with primary practice located at 6960 108Th St Suite 108, Forest Hills NY 11375-4323. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. 112 Gvr Medical, Pc can be contacted via phone (718) 263-0200, or through Tetro, Ida via phone (718) 263-0200.

Contact Information

Primary practice address
6960 108Th St Suite 108 Forest Hills NY 11375-4323
Phone: (718) 263-0200
Fax: (718) 263-0205
Website:
Map and Directions
Authorized official contact:
Name: Tetro, Ida Doctor of Medicine (MD)
Phone: (718) 263-0200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 220405 New York

Profile Details

NPI number 1649315771
LBN Legal business name 112 Gvr Medical, Pc
DBA Doing business as
Authorized official Tetro, Ida Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Aug 22nd, 2020 - about 6 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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