Southside Hospital Department Of Neurology

LBN: Southside Hospital Department Of Neurology
Southside Hospital Department Of Neurology is an health care organization with primary practice located at 301 E Main St , Bay Shore NY 11706-8408. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Southside Hospital Department Of Neurology can be contacted via phone (631) 968-3000, or through Mack, Winifred via phone (631) 675-4149.

Contact Information

Primary practice address
301 E Main St Bay Shore NY 11706-8408
Phone: (631) 968-3000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mack, Winifred
Phone: (631) 675-4149

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1578511127
LBN Legal business name Southside Hospital Department Of Neurology
DBA Doing business as
Authorized official Mack, Winifred
Entity Organization
Organization subpart 1 Yes
Enumeration date May 5th, 2006
Last updated Oct 9th, 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 1578511127 NPPES
New York MEDICAID 01259347

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