1588753628 NPI number — HENRY J BEST IV D.O.

Table of content: HENRY J BEST IV D.O. (NPI 1588753628)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588753628 NPI number — HENRY J BEST IV D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BEST
Provider First Name:
HENRY
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
IV
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588753628
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
640 BELLE TERRE RD
Provider Second Line Business Mailing Address:
BLDG F
Provider Business Mailing Address City Name:
PORT JEFFERSON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11777-1936
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-928-6900
Provider Business Mailing Address Fax Number:
631-928-6979

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
640 BELLE TERRE RD
Provider Second Line Business Practice Location Address:
BLDG F
Provider Business Practice Location Address City Name:
PORT JEFFERSON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11777-1936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-928-6900
Provider Business Practice Location Address Fax Number:
631-928-6979
Provider Enumeration Date:
10/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  187792 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 187792A10 . This is a "HEALTHFIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 203505940 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: HB05570A10 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 203505940 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: P2539381 . This is a "OXFORD INSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 96217 . This is a "VYTRA INSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 203505940 . This is a "EMPIRE PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5917034 . This is a "AETNA INSURANCE" identifier . This identifiers is of the category "OTHER".




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