South Ocean Care Llc in Woodmere - Clinic/center

South Ocean Care Llc - NPI 1205811049

South Ocean Care Llc is a Clinic/center in Woodmere, New York. South Ocean Care Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for South Ocean Care Llc is 1205811049. The last update date is 2008-05-21.

South Ocean Care Llc's current location address is Po Box 624, Woodmere, New York. You can contact this provider via phone number 5166233600 and fax number 5166239191. The mailing address for South Ocean Care Llc is Po Box 624, Woodmere, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Ocean Care Llc
Address Po Box 624, Woodmere, New York
Phone Number 5166233600
Fax Number 5166239191
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGING M
Authorized Official Name Raifman A Mark
Credentials MD
Telephone Number 5166233600

NPI Number Detail

NPI Number 1205811049
Provider Enumeration Date 2005-12-14
Last Updated Date 2008-05-21

Provider Mailing Address Detail

Address Po Box 624
City Woodmere
State New York (NY)
Post Code 115980624
Phone Number 5166233600
Fax Number 5166239191

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No 2904201R
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2289783 NY --

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FAQs about South Ocean Care Llc

What is the unique provider identifier assigned to South Ocean Care Llc?

The South Ocean Care Llc has been issued the NPI (National Provider Identifier) 1205811049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where South Ocean Care Llc is located?

The South Ocean Care Llc is situated at the following address: Po Box 624, Woodmere, NY, 115980624.

What is South Ocean Care Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The South Ocean Care Llc's specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.

On what date did South Ocean Care Llc receive its 1205811049 assignment from the Centers for Medicare & Medicaid Services?

The South Ocean Care Llc was assigned its 1205811049 on 2005-12-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the South Ocean Care Llc's information last updated?

The South Ocean Care Llc's information was last updated on 2008-05-21.

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