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Contact Information

2791 RICHMOND LLC
2791 RICHMOND AVENUE, SUITE 2
STATEN ISLAND, NY10314
 Phone: 718-400-9002
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 2791 RICHMOND LLC

NPI # 1003391186
LBN Legal business name 2791 RICHMOND LLC
Authorized official TONI LYNN EGAN - (CREDENTIALING DEPARTMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2018
Last updated 09/25/2018 - About 12 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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