1957 Bronx Medical P.C.

LBN: 1957 Bronx Medical P.C.
1957 Bronx Medical P.C. is an health care organization with primary practice located at 9924 64Th Ave , Rego Park NY 11374-2645. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. 1957 Bronx Medical P.C. can be contacted via phone (917) 842-2854, or through Smuglin, Ilya via phone (917) 842-2854.

Contact Information

Primary practice address
9924 64Th Ave Rego Park NY 11374-2645
Phone: (917) 842-2854
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smuglin, Ilya Doctor of Medicine (MD)
Phone: (917) 842-2854

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 221943 New York

Profile Details

NPI number 1396008801
LBN Legal business name 1957 Bronx Medical P.C.
DBA Doing business as
Authorized official Smuglin, Ilya Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2012
Last updated Jun 19th, 2012 - about 14 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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