Prime Care On The Bay Llc

LBN: Prime Care On The Bay Llc
Prime Care On The Bay Llc is an health care organization with primary practice located at 1711 Sheepshead Bay Rd Ground Floor, Brooklyn NY 11235-3651. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Prime Care On The Bay Llc can be contacted via phone (718) 332-8002, or through Kadymoff, Eldar via phone (718) 332-8002.

Contact Information

Primary practice address
1711 Sheepshead Bay Rd Ground Floor Brooklyn NY 11235-3651
Phone: (718) 332-8002
Fax: (718) 332-8006
Website:
Map and Directions
Authorized official contact:
Name: Kadymoff, Eldar Doctor of Osteopathy (DO)
Phone: (718) 332-8002

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 7001106R New York

Profile Details

NPI number 1023297694
LBN Legal business name Prime Care On The Bay Llc
DBA Doing business as
Authorized official Kadymoff, Eldar Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2007
Last updated Oct 31st, 2007 - about 19 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 1023297694 NPPES
New York MEDICAID 02426653

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