<Unavail>

LBN: Pagoda Medical Pc
<Unavail> is an health care organization with primary practice located at 399 Lake Ave Fl 1 , Staten Island NY 10303-2640. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Pagoda Medical Pc can be contacted via phone (732) 205-1707, or through Shnayder, Anatoly via phone (347) 933-9089.

Contact Information

Primary practice address
399 Lake Ave Fl 1 Staten Island NY 10303-2640
Phone: (732) 205-1707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shnayder, Anatoly
Phone: (347) 933-9089

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 275175 New York

Profile Details

NPI number 1023523602
LBN Legal business name Pagoda Medical Pc
DBA Doing business as <Unavail>
Authorized official Shnayder, Anatoly
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2017
Last updated Jun 22nd, 2026 - about 4 months 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 1023523602 NPPES
New York MEDICAID 03982363

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