Perry Ave Family Medical Center Inc

LBN: Perry Ave Family Medical Center Inc
Perry Ave Family Medical Center Inc is an health care organization with primary practice located at 3071 Perry Ave , Bronx NY 10467-4111. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Perry Ave Family Medical Center Inc can be contacted via phone (718) 231-6700, or through Khan, Shama R via phone (718) 231-6700.

Contact Information

Primary practice address
3071 Perry Ave Bronx NY 10467-4111
Phone: (718) 231-6700
Fax: (718) 515-5454
Website:
Map and Directions
Authorized official contact:
Name: Khan, Shama R
Phone: (718) 231-6700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1619973518
LBN Legal business name Perry Ave Family Medical Center Inc
DBA Doing business as
Authorized official Khan, Shama R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 8th, 2015 - about 11 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 1619973518 NPPES
New York MEDICAID 02444553
New York Other 2000416
New York Other 7829562
New York Other S70F11
New York Other 041227000012
New York Other 2478450

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