Statewide Telehealth

LBN: Statewide Telehealth
Statewide Telehealth is an health care organization with primary practice located at 89 Junard Dr , Bay Shore NY 11706-4516. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Statewide Telehealth can be contacted via phone (254) 244-1660, or through Diaz, Carmen via phone (254) 244-1660.

Contact Information

Primary practice address
89 Junard Dr Bay Shore NY 11706-4516
Phone: (254) 244-1660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Carmen
Phone: (254) 244-1660

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1659963718
LBN Legal business name Statewide Telehealth
DBA Doing business as
Authorized official Diaz, Carmen
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2021
Last updated Feb 9th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659963718 NPPES
New York MEDICAID 829824969

Popular Providers