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Contact Information

YEVGENIA LUKOVSKY
10890 BUSTLETON AVENUE
SUITE 100
PHILADELPHIA, PA19116
 Phone: 215-676-7622
 Fax: 215-934-7822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for

NPI # 1356404511
Entity Organization
Organization subpart 1 Not specified
Enumeration date 12/19/2006
Last updated 10/17/2024 - More than a year ago
Identifiers
PA License # 83594969
PA Medicaid 0016324220002
PA Other 32324 HEALTH PARTNERS
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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