BRENTWOOD MEDICAL CARE, PC – NPI #1417012568
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

BRENTWOOD MEDICAL CARE, PC is a provider located in BRENTWOOD, NY. NPPES has assigned the NPI number 1417012568 to BRENTWOOD MEDICAL CARE, PC on December 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 16 years ago on Oct 29, 2010. 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 BRENTWOOD MEDICAL CARE, PC below.

NPI Profile for
BRENTWOOD MEDICAL CARE, PC

NPI Number
1417012568
Enumeration Date

(more than 19 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
BRENTWOOD MEDICAL CARE, PC
Primary location
55 SECOND AVE
SUITE 1
BRENTWOOD, NY 11717-4611
Phone: (631) 751-5588 Fax:
Mailing address
1890 NEW YORK AVE
HUNTINGTON STATION, NY 11746-2904
Phone: (631) 427-6920 Fax:
Organization Subpart
No
Authorized Official
MATTHEW VISO
MANAGER
Phone: (631) 751-5588
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
208D00000X
- General Practice (Primary)		 NY 183817

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.