NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

112 GVR MEDICAL, PC
6960 108TH ST
SUITE 108
FOREST HILLS, NY11375-4323
 Phone: 718-263-0200
 Fax: 718-263-0205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for 112 GVR MEDICAL, PC

NPI # 1649315771
LBN Legal business name 112 GVR MEDICAL, PC
Authorized official IDA TETRO - (OWNER)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 02/20/2007
Last updated 07/08/2007 - About 12 years ago
Identifiers
NY License # 220405
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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