189-04 FACILITY INC – NPI #1538567730
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.

189-04 FACILITY INC is a provider located in FRESH MEADOWS, NY. NPPES has assigned the NPI number 1538567730 to 189-04 FACILITY INC on December 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

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 189-04 FACILITY INC below.

NPI Profile for
189-04 FACILITY INC

NPI Number
1538567730
Enumeration Date

(more than 11 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
189-04 FACILITY INC
Primary location
18904 UNION TPKE
SUITE B
FRESH MEADOWS, NY 11366-1862
Phone: (718) 271-1414 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALLEN ANTONELLI
PRESIDENT
Phone: (718) 217-1414
Updated
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.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

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.