The Shield Institute

LBN: The Shield Of David, Inc.
The Shield Institute is an health care organization with primary practice located at 3909 214Th Pl , Bayside NY 11361-2123. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. The Shield Of David, Inc. can be contacted via phone (718) 269-2004, or through Provenzano, Susan via phone (718) 886-1682.

Contact Information

Primary practice address
3909 214Th Pl Bayside NY 11361-2123
Phone: (718) 269-2004
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Provenzano, Susan
Phone: (718) 886-1682

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 6593164 New York

Profile Details

NPI number 1184661290
LBN Legal business name The Shield Of David, Inc.
DBA Doing business as The Shield Institute
Authorized official Provenzano, Susan
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Apr 24th, 2018 - about 8 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 1184661290 NPPES
New York MEDICAID 00243949

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