Rrg Medical Practice, Pc

LBN: Rrg Medical Practice, Pc
Rrg Medical Practice, Pc is an health care organization with primary practice located at 3736 90Th St Fl 1 , Jackson Heights NY 11372-7830. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Rrg Medical Practice, Pc can be contacted via phone (718) 505-0030, or through Rodriguez, Rafael via phone (718) 505-0030.

Contact Information

Primary practice address
3736 90Th St Fl 1 Jackson Heights NY 11372-7830
Phone: (718) 505-0030
Fax: (718) 505-0032
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Rafael Doctor of Medicine (MD)
Phone: (718) 505-0030

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1720383714
LBN Legal business name Rrg Medical Practice, Pc
DBA Doing business as
Authorized official Rodriguez, Rafael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2011
Last updated Sep 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720383714 NPPES
New York MEDICAID 02461109

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