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GPDDC LLC NPI 1922666940


NPI Information

NPI: 1922666940
Provider Name: GPDDC, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 33D2169378

Address:
2 BENNETT AVE FL 2
NEW YORK, NY
ZIP 10033
Phone: (212) 979-3237
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GPDDC, LLC is an ambulatory surgical clinic center in New York, NY. GPDDC, LLC NPI is 1922666940. The provider is registered as an organization entity type.

The provider's business location address is:

2 BENNETT AVE FL 2
NEW YORK, NY
ZIP 10033-148
Phone: (212) 979-3237
Fax: (212) 979-3447

The provider's authorized official is Gurjeet Parmar .
The authorized official title is Executive Director and has the following contact phone number (212) 979-3237.

The CLIA number assigned to this NPI record is 33D2169378 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2019 and was last updated on 6/4/2019.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
102981359MEDICAIDNEW 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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