Cityblock Medical Practice Ct, P.C.

LBN: Cityblock Medical Practice Ct, P.C.
Cityblock Medical Practice Ct, P.C. is an health care organization with primary practice located at 76 Center St Fl 3 , Waterbury CT 06702-2129. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Cityblock Medical Practice Ct, P.C. can be contacted via phone (203) 518-4566, or through Itskov, Jonathan via phone (347) 401-1399.

Contact Information

Primary practice address
76 Center St Fl 3 Waterbury CT 06702-2129
Phone: (203) 518-4566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Itskov, Jonathan
Phone: (347) 401-1399

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1396218293
LBN Legal business name Cityblock Medical Practice Ct, P.C.
DBA Doing business as
Authorized official Itskov, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2019
Last updated Feb 6th, 2019 - 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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