HOLLIS PEDIATRICS NPI 1700165487

NPI Information

NPI: 1700165487
Provider Name: HOLLIS PEDIATRICS
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
18911 JAMAICA AVE
HOLLIS, NY
ZIP 11423
Phone: (718) 776-1100
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HOLLIS PEDIATRICS is a specialist in Hollis, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HOLLIS PEDIATRICS NPI is 1700165487. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18911 JAMAICA AVE
HOLLIS, NY
ZIP 11423-513
Phone: (718) 776-1100

The provider's authorized official is Arkadiy Takalov .
The authorized official title is Pediatrician and has the following contact phone number (718) 776-1100.

The enumeration date for this NPI number is 8/11/2011 and was last updated on 8/11/2011.

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	174400000X	Specialist				Yes

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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