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Contact Information

SUPERIOR CLINICAL CARE PLLC
178 MORRISON AVE
STATEN ISLAND, NY10310
 Phone: 718-442-3646
 Fax: 718-442-3646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for SUPERIOR CLINICAL CARE PLLC

NPI Number 1952773038
LBN Legal business name SUPERIOR CLINICAL CARE PLLC
Authorized official MIRIAM PRATT - (PRINCIPAL)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2015
Last updated 10/28/2015 - About 11 years ago
Identifiers
NY Medicaid SUPERIOR6126
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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