154 NORTHERN MEDICAL PRACTICE; NPI #1710311691

Contact Information

154 NORTHERN MEDICAL PRACTICE

15408 NORTHERN BLVD
SUITE 2K
FLUSHING, NY 11354-5040

Phone: 718-445-0200
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for 154 NORTHERN MEDICAL PRACTICE

NPI #	`1710311691`
LBN Legal business name	154 NORTHERN MEDICAL PRACTICE
Authorized official	JOON MO MYUNG - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/27/2013
Last updated	08/27/2013 - About 13 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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