DIVINITY MEDICAL SERVICES PLLC NPI 1316511488

NPI Information

NPI: 1316511488
Provider Name: DIVINITY MEDICAL SERVICES PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D2151419

Address:
3379 CROMPOND RD
YORKTOWN HEIGHTS, NY
ZIP 10598
Phone: (914) 930-5550
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DIVINITY MEDICAL SERVICES PLLC is a primary care clinic center in Yorktown Heights, NY. DIVINITY MEDICAL SERVICES PLLC NPI is 1316511488. The provider is registered as an organization entity type.

The provider's business location address is:

3379 CROMPOND RD
YORKTOWN HEIGHTS, NY
ZIP 10598-605
Phone: (914) 930-5550
Fax: (914) 930-5551

The provider's authorized official is Rajesh Gupta .
The authorized official title is Medical Director and has the following contact phone number (914) 242-8318.

The CLIA number assigned to this NPI record is 33D2151419 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2021 and was last updated on 5/14/2021.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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