Jesus Pichardo Md Pc

LBN: Jesus Pichardo Md Pc
Jesus Pichardo Md Pc is an health care organization with primary practice located at 1623 Weirfield St , Ridgewood NY 11385-5349. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Jesus Pichardo Md Pc can be contacted via phone (718) 456-4600, or through Pichardo, Jesus Manuel via phone (718) 456-4600.

Contact Information

Primary practice address
1623 Weirfield St Ridgewood NY 11385-5349
Phone: (718) 456-4600
Fax: (718) 418-3549
Website:
Map and Directions
Authorized official contact:
Name: Pichardo, Jesus Manuel Doctor of Medicine (MD)
Phone: (718) 456-4600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 188066 New York

Profile Details

NPI number 1295902468
LBN Legal business name Jesus Pichardo Md Pc
DBA Doing business as
Authorized official Pichardo, Jesus Manuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2008
Last updated Apr 16th, 2013 - about 13 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 1295902468 NPPES
New York MEDICAID 01463212

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