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INTERNATIONAL TRAVEL MEDICINE PC NPI 1720629454


NPI Information

NPI: 1720629454
Provider Name: INTERNATIONAL TRAVEL MEDICINE, PC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 33D2182152

Address:
200 S SERVICE RD STE 212
ROSLYN HTS, NY
ZIP 11577
Phone: (516) 626-2004
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INTERNATIONAL TRAVEL MEDICINE, PC is a medical specialty clinic center in Roslyn Hts, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). INTERNATIONAL TRAVEL MEDICINE, PC NPI is 1720629454. The provider is registered as an organization entity type.

The provider's business location address is:

200 S SERVICE RD STE 212
ROSLYN HTS, NY
ZIP 11577-118
Phone: (516) 626-2004
Fax: (516) 626-2583

The provider's authorized official is Tatiana Simon .
The authorized official title is Administrator and has the following contact phone number (516) 626-2518.

The CLIA number assigned to this NPI record is 33D2182152 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2019 and was last updated on 10/3/2019.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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.