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Contact Information

OPTIMUM PRIMARY CARE MEDICAL PC
311 ST. NICHOLAS AVENUE
RIDGEWOOD, NY11385
 Phone: 718-766-5150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OPTIMUM PRIMARY CARE MEDICAL PC

NPI # 1043563554
LBN Legal business name OPTIMUM PRIMARY CARE MEDICAL PC
Authorized official MOHAMMAD ASLAM - (M,D,)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2012
Last updated 10/22/2012 - About 14 years 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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