MEDICINE SPECIALTY GROUP AT LICH – NPI #1003863820
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

MEDICINE SPECIALTY GROUP AT LICH is a provider located in BROOKLYN, NY. NPPES has assigned the NPI number 1003863820 to MEDICINE SPECIALTY GROUP AT LICH on May 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICINE SPECIALTY GROUP AT LICH” is a dba name, the actual legal business name for this organization is LONG ISLAND COLLEGE HOSPITAL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 17 years ago on Nov 03, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICINE SPECIALTY GROUP AT LICH below.

NPI Profile for
LONG ISLAND COLLEGE HOSPITAL

NPI Number
1003863820
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LONG ISLAND COLLEGE HOSPITAL
Doing Business As (dba): MEDICINE SPECIALTY GROUP AT LICH
Primary location
97 AMITY ST
BROOKLYN, NY 11201-6004
Phone: (718) 780-2155 Fax:
Mailing address
160 WATER ST
20FL
NEW YORK, NY 10038-4922
Phone: (212) 256-3682 Fax: (212) 256-3538
Organization Subpart
No
Authorized Official
VLADIMIR PRIVMAN
MANAGING EMPLOYEE
Phone: (718) 780-2155
Updated
Identifiers

Identifiers for MEDICINE SPECIALTY GROUP AT LICH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02420102
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.