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NEW YORK IMMUNOLOGY PC NPI 1720040629


NPI Information

NPI: 1720040629
Provider Name: NEW YORK IMMUNOLOGY PC
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
6920 MAIN ST
FLUSHING, NY
ZIP 11367
Phone: (718) 793-9020
Get Directions

NEW YORK IMMUNOLOGY PC is a legal medicine in Flushing, NY. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. NEW YORK IMMUNOLOGY PC NPI is 1720040629. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6920 MAIN ST
FLUSHING, NY
ZIP 11367-703
Phone: (718) 793-9020

The provider's authorized official is Michael Landor .
The authorized official title is Director Officer and has the following contact phone number (718) 793-9020.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal Medicine184552NEW YORKYes
2174400000XSpecialist184552NEW YORKX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101694724MEDICAIDNEW 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: 4/28/2024

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