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

Contact Information

210 MINEOLA MEDICAL PC
210 OLD COUNTRY RD
MINEOLA, NY11501-4218
 Phone: 516-279-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for 210 MINEOLA MEDICAL PC

NPI Number 1821566969
LBN Legal business name 210 MINEOLA MEDICAL PC
Authorized official IRENA MUSHEEV - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2018
Last updated 11/07/2018 - About 10 months ago
Identifiers n/a
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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