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General NPI Number Information
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NPI Number | 1710144332
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Entity Type | Organization
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Legal Business Name | MOBILE HEALTH CARE, LLC
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 791 W BROADWAY
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City | WOODMERE
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State | NY
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Zip | 11598-2543
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Country | US
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Telephone | 516-569-8409
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Fax | 516-706-5999
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Provider Business Mailing Address
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Address Line | 791 W BROADWAY
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City | WOODMERE
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State | NY
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Zip | 11598-2543
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Country | US
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Telephone |
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Fax | 516-706-5999
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Authorized Official
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Title or Position | CEO
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Name | DR. ELIEZER GREENBERG
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Credential |
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Telephone | 516-569-8409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2950211R
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 2950211R
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 2950211R
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 2950211R
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | 2950211R
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 2950211R
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License Number State | NY
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