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Contact Information

BAYPORT MEDICAL GROUP PC
10 S SNEDECOR AVE
BAYPORT, NY11705-2133
 Phone: 631-472-0600
 Fax: 631-472-0602
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BAYPORT MEDICAL GROUP PC

NPI Number 1184951139
LBN Legal business name BAYPORT MEDICAL GROUP PC
Authorized official GLORIA DELFINO - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/12/2009
Last updated 11/12/2009 - About 17 years ago
Identifiers
NY License # 196926
NY Medicaid 01771315
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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