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Contact Information

LDT MEDICAL,PC
1 CROSS ISLAND PLZ
ROSEDALE, NY11422-1465
 Phone: 718-525-9800
 Fax: 718-525-9801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for LDT MEDICAL,PC

NPI Number 1801193875
LBN Legal business name LDT MEDICAL,PC
Authorized official LESLIE THEODORE - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2011
Last updated 02/27/2011 - About 15 years ago
Identifiers
NY License # 185234
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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