MOBILE HEALTH CARE LLC NPI 1710144332

NPI Information

NPI: 1710144332
Provider Name: MOBILE HEALTH CARE, LLC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
791 W BROADWAY
WOODMERE, NY
ZIP 11598
Phone: (516) 569-8409
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MOBILE HEALTH CARE, LLC is a community health clinic center in Woodmere, NY. MOBILE HEALTH CARE, LLC NPI is 1710144332. The provider is registered as an organization entity type.

The provider's business location address is:

791 W BROADWAY
WOODMERE, NY
ZIP 11598-543
Phone: (516) 569-8409
Fax: (516) 706-5999

The provider's authorized official is Eliezer Greenberg .
The authorized official title is Ceo and has the following contact phone number (516) 569-8409.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 5/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		2950211R	NEW YORK	No
2	261QD1600X	Clinic/Center	Developmental Disabilities	2950211R	NEW YORK	No
3	261QH0100X	Clinic/Center	Health Service	2950211R	NEW YORK	No
4	261QM1300X	Clinic/Center	Multi-Specialty	2950211R	NEW YORK	No
5	261QP1100X	Clinic/Center	Podiatric	2950211R	NEW YORK	No
6	261QC1500X	Clinic/Center	Community Health	2950211R	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02172049	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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