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PRIVILEGE CARE MEDICAL CENTER L.L.C. NPI 1083630107


NPI Information

NPI: 1083630107
Provider Name: PRIVILEGE CARE MEDICAL CENTER, L.L.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
40-18 76TH STREET
ELMHURST, NY
ZIP 11373
Phone: (718) 779-6800
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PRIVILEGE CARE MEDICAL CENTER, L.L.C. is a chiropractor in Elmhurst, NY. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PRIVILEGE CARE MEDICAL CENTER, L.L.C. NPI is 1083630107. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

40-18 76TH STREET
ELMHURST, NY
ZIP 11373
Phone: (718) 779-6800
Fax: (718) 779-7598

The provider's authorized official is Joshua Farkovitz .
The authorized official title is Administrator and has the following contact phone number (718) 779-6800.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/22/2020.


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
1111N00000XChiropractorYes
2207K00000XAllergy & ImmunologyX
3207R00000XInternal MedicineX
4207RC0000XInternal MedicineCardiovascular DiseaseX
5207RG0100XInternal MedicineGastroenterologyX
6207V00000XObstetrics & GynecologyX
7207VG0400XObstetrics & GynecologyGynecologyX
8207W00000XOphthalmologyX
9207X00000XOrthopaedic SurgeryX
10208100000XPhysical Medicine & RehabilitationX
11208600000XSurgeryX
12208800000XUrologyX
13213E00000XPodiatristX
14225100000XPhysical TherapistX

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
102750181MEDICAIDNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.