New York Immunology Pc

LBN: New York Immunology Pc
New York Immunology Pc is an health care organization with primary practice located at 6920 Main St , Flushing NY 11367-1703. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Other Service Providers / Specialist. Other Service Providers / Legal Medicine is the primary health care specialty. New York Immunology Pc can be contacted via phone (718) 793-9020, or through Landor, Michael via phone (718) 793-9020.

Contact Information

Primary practice address
6920 Main St Flushing NY 11367-1703
Phone: (718) 793-9020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Landor, Michael Doctor of Medicine (MD)
Phone: (718) 793-9020

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 184552 New York
Other Service Providers / Specialist 174400000X 184552 New York

Profile Details

NPI number 1720040629
LBN Legal business name New York Immunology Pc
DBA Doing business as
Authorized official Landor, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 21st, 2022 - about 4 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 1720040629 NPPES
New York MEDICAID 01694724

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