Woodbine Medical Pc

LBN: Woodbine Medical Pc
Woodbine Medical Pc is an health care organization with primary practice located at 714 Seneca Ave , Ridgewood NY 11385-2895. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Woodbine Medical Pc can be contacted via phone (718) 418-5320, or through Carmili, David via phone (718) 418-5320.

Contact Information

Primary practice address
714 Seneca Ave Ridgewood NY 11385-2895
Phone: (718) 418-5320
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carmili, David
Phone: (718) 418-5320

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 022692 New York

Profile Details

NPI number 1225199789
LBN Legal business name Woodbine Medical Pc
DBA Doing business as
Authorized official Carmili, David
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1225199789 NPPES
New York MEDICAID 02632117

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