PEDIATRICS 2000 III PLLC NPI 1891879847

NPI Information

NPI: 1891879847
Provider Name: PEDIATRICS 2000 III PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
135 HAVEN AVE
NEW YORK, NY
ZIP 10032
Phone: (212) 923-5500
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PEDIATRICS 2000 III PLLC is a primary care clinic center in New York, NY. PEDIATRICS 2000 III PLLC NPI is 1891879847. The provider is registered as an organization entity type.

The provider's business location address is:

135 HAVEN AVE
NEW YORK, NY
ZIP 10032-131
Phone: (212) 923-5500
Fax: (212) 795-6529

The provider's authorized official is Marino A Torres .
The authorized official title is Pediatrician and has the following contact phone number (212) 923-5500.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 10/10/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02047134	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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