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Contact Information

786 UNITED INC.
11104 LIBERTY AVE
SOUTH RICHMOND HILL, NY11419-1812
 Phone: 718-641-3450
 Fax: 718-641-3792
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for 786 UNITED INC.

NPI Number 1679629711
LBN Legal business name 786 UNITED INC.
Authorized official AFZAL YAKUB - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC License # TUV006453
NY Medicaid 02072957
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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