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LNW MEDICAL OFFICE PLLC NPI 1720107584


NPI Information

NPI: 1720107584
Provider Name: LNW MEDICAL OFFICE, PLLC

Doing Business As: LNW MEDICAL OFFICE, PLLC

Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
Entity Type: Organization
Address:
33 WALT WHITMAN RD STE 100A
HUNTINGTON STATION, NY
ZIP 11746
Phone: (631) 965-8166
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LNW MEDICAL OFFICE, PLLC is a medical genetics phd medical genetics in Huntington Station, NY. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. LNW MEDICAL OFFICE, PLLC NPI is 1720107584. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lnw Medical Office, Pllc.

The provider's business location address is:

33 WALT WHITMAN RD STE 100A
HUNTINGTON STATION, NY
ZIP 11746-631
Phone: (631) 965-8166
Fax: (718) 732-2062

The provider's authorized official is George Mang .
The authorized official title is M.d. and has the following contact phone number (718) 886-8386.

The enumeration date for this NPI number is 3/29/2007 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
1170100000XMedical Genetics, Ph.D. Medical Genetics188903NEW YORKYes

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
101663538MEDICAIDNEW 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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