Advanced Pediatrics, Pc

NPI 1083815385 - Pediatrics - 208000000X

NPI Details
NPI 1083815385
Enumeration Date 05/31/2007
Last Updated 02/23/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILFREDO WILFREDO
Position PARTNER
Phone (718) 271-2600
Fax (718) 271-2766
Practice Location
9436 59TH AVE
SUITE C4
ELMHURST NY, 11373-5151, US
Phone (718) 271-2600
Fax (718) 271-2766
Business Location
9436 59TH AVE
SUITE C4
ELMHURST NY, 11373-5151, US
Phone (718) 271-2600
Fax (718) 271-2766
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 211204
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According to our database, Advanced Pediatrics, Pc NPI is 1083815385, taxonomy code is 208000000X and license number is 211204, license state is located at New York. Advanced Pediatrics, Pc physically located at 9436 59th Ave, Elmhurst NY, 11373-5151. NPI Number 1033115704 has the healthcare provider type.

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1083815385 NPI number is provided on an as is basis without warranty of any kind. 1083815385 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Pediatrics, Pc are for informational purposes only.