1851636351 NPI number — REMEDIAL PRIMARY MEDICAL CARE, PC

Table of content: (NPI 1851636351)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851636351 NPI number — REMEDIAL PRIMARY MEDICAL CARE, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REMEDIAL PRIMARY MEDICAL CARE, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1851636351
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/31/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
61 WILLETS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SYOSSET
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11791-3915
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-317-8337
Provider Business Mailing Address Fax Number:
631-675-9301

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
252 W OLD COUNTRY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HICKSVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11801-4011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-317-8337
Provider Business Practice Location Address Fax Number:
631-675-9301
Provider Enumeration Date:
12/10/2012

Additional Information

Authorized Official

Authorized Official Last Name:
FATIMA
Authorized Official First Name:
FARAH
Authorized Official Middle Name:
Authorized Official Title or Position:
SOLE PROPRIETOR
Authorized Official Telephone Number:
516-317-8337

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  260263 , 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)





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