Pediatric Family Mdpc

LBN: Pediatric Family Mdpc
Pediatric Family Mdpc is an health care organization with primary practice located at 3752 82Nd St 2Nd Fl., Jackson Heights NY 11372-7032. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Family Mdpc can be contacted via phone (718) 779-5855, or through Valencia, Hector Antonio via phone (718) 779-5855.

Contact Information

Primary practice address
3752 82Nd St 2Nd Fl. Jackson Heights NY 11372-7032
Phone: (718) 779-5855
Fax: (718) 779-1053
Website:
Map and Directions
Authorized official contact:
Name: Valencia, Hector Antonio Doctor of Medicine (MD)
Phone: (718) 779-5855

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1104975796
LBN Legal business name Pediatric Family Mdpc
DBA Doing business as
Authorized official Valencia, Hector Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1104975796 NPPES
New York MEDICAID 01515008

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