Port Md Medical Wellness

LBN: Port Jefferson Surgical Pc
Port Md Medical Wellness is an health care organization with primary practice located at 1227 Main St Ste 101 , Port Jefferson NY 11777-2227. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Port Jefferson Surgical Pc can be contacted via phone (718) 554-1042, or through Christakis, Markella via phone (631) 403-4310.

Contact Information

Primary practice address
1227 Main St Ste 101 Port Jefferson NY 11777-2227
Phone: (718) 554-1042
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Christakis, Markella
Phone: (631) 403-4310

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1912460791
LBN Legal business name Port Jefferson Surgical Pc
DBA Doing business as Port Md Medical Wellness
Authorized official Christakis, Markella
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2019
Last updated Oct 1st, 2019 - about 7 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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