Groupo Medico Dominicano Pllc

LBN: Groupo Medico Dominicano Pllc
Groupo Medico Dominicano Pllc is an health care organization with primary practice located at 629 W 185Th St , New York NY 10033-3102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as the primary health care specialty. Groupo Medico Dominicano Pllc can be contacted via phone (212) 928-3900, or through Taveras, Fernando via phone (212) 928-3900.

Contact Information

Primary practice address
629 W 185Th St New York NY 10033-3102
Phone: (212) 928-3900
Fax: (212) 795-0470
Website:
Map and Directions
Authorized official contact:
Name: Taveras, Fernando Doctor of Medicine (MD)
Phone: (212) 928-3900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X

Profile Details

NPI number 1679646061
LBN Legal business name Groupo Medico Dominicano Pllc
DBA Doing business as
Authorized official Taveras, Fernando Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Feb 25th, 2010 - about 16 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 1679646061 NPPES
New York MEDICAID 03178503

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