Long Beach Family Medicine Pc in Long Beach - Adult Medicine
Long Beach Family Medicine Pc - NPI 1629299516
Long Beach Family Medicine Pc is a Adult Medicine in Long Beach, New York. Long Beach Family Medicine Pc practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Long Beach Family Medicine Pc is 1629299516. The last update date is 2015-09-25.
Long Beach Family Medicine Pc's current location address is 10 Franklin Blvd Apt 102, Long Beach, New York. You can contact this provider via phone number 5168890100 and fax number 5168972425. The mailing address for Long Beach Family Medicine Pc is 10 Franklin Blvd Apt 102, Long Beach, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Long Beach Family Medicine Pc |
|---|---|
| Address | 10 Franklin Blvd Apt 102, Long Beach, New York |
| Phone Number | 5168890100 |
| Fax Number | 5168972425 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRES. |
|---|---|
| Authorized Official Name | Kulikov Sergey |
| Credentials | D.O. |
| Telephone Number | 5168890100 |
NPI Number Detail
| NPI Number | 1629299516 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2015-09-25 |
Provider Mailing Address Detail
| Address | 10 Franklin Blvd Apt 102 |
|---|---|
| City | Long Beach |
| State | New York (NY) |
| Post Code | 115614511 |
| Phone Number | 5168890100 |
| Fax Number | 5168972425 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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What is the unique identifier code issued to Long Beach Family Medicine Pc by the Centers for Medicare & Medicaid Services?
The Long Beach Family Medicine Pc has been assigned the NPI (National Provider Identifier) 1629299516. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Long Beach Family Medicine Pc located?
The Long Beach Family Medicine Pc is located at 10 Franklin Blvd Apt 102, Long Beach, NY 115614511.
What is the Long Beach Family Medicine Pc's area of specialization and corresponding taxonomy classification?
The Long Beach Family Medicine Pc's specialty field is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their specialties.
When did the Long Beach Family Medicine Pc receive its 1629299516?
The Long Beach Family Medicine Pc was issued its 1629299516 on 2007-05-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Long Beach Family Medicine Pc last refreshed?
The information related to the Long Beach Family Medicine Pc, including its address, specialty, and other relevant details, was last updated on 2015-09-25.
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