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BAYSIDE PEDIATRIC CARE P.C. NPI 1639478340


NPI Information

NPI: 1639478340
Provider Name: BAYSIDE PEDIATRIC CARE P.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D2163718

Address:
22116 UNION TPKE
BAYSIDE, NY
ZIP 11364
Phone: (718) 465-5888
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BAYSIDE PEDIATRIC CARE P.C. is a pediatrics in Bayside, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BAYSIDE PEDIATRIC CARE P.C. NPI is 1639478340. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22116 UNION TPKE
BAYSIDE, NY
ZIP 11364-641
Phone: (718) 465-5888
Fax: (718) 465-5889

The provider's authorized official is Li-min Yang .
The authorized official title is Office Manager and has the following contact phone number (718) 465-5888.

The CLIA number assigned to this NPI record is 33D2163718 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2011 and was last updated on 3/6/2012.


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
1208000000XPediatrics240002NEW YORKYes

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
102824739MEDICAIDNEW 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

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