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Contact Information

CCS MEDICAL PRACTICE, PLLC
17 SOUTHDOWN ROAD
HUNTINGTON, NY11743
 Phone: 631-923-2139
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for CCS MEDICAL PRACTICE, PLLC

NPI # 1265857643
LBN Legal business name CCS MEDICAL PRACTICE, PLLC
Authorized official MICHAEL KENNEDY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2014
Last updated 12/16/2019 - About 6 years ago
Identifiers
NY License # 7175553
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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