Theodore Allen Physician, Pc

LBN: Theodore Allen Physician, Pc
Theodore Allen Physician, Pc is an health care organization with primary practice located at 92 E Old Country Rd , Hicksville NY 11801-4217. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Theodore Allen Physician, Pc can be contacted via phone (516) 681-2700, or through Allen, Theodore via phone (516) 681-2700.

Contact Information

Primary practice address
92 E Old Country Rd Hicksville NY 11801-4217
Phone: (516) 681-2700
Fax: (516) 681-7115
Website:
Map and Directions
Authorized official contact:
Name: Allen, Theodore Doctor of Medicine (MD)
Phone: (516) 681-2700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 129095 New York

Profile Details

NPI number 1083912216
LBN Legal business name Theodore Allen Physician, Pc
DBA Doing business as
Authorized official Allen, Theodore Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2011
Last updated Mar 11th, 2011 - about 15 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 1083912216 NPPES
New York MEDICAID 00238188

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