Community Pediatrician, Pllc

NPI 1114361482 - Pediatrics - 208000000X

NPI Details
NPI 1114361482
Enumeration Date 04/17/2013
Last Updated 04/17/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANCA M ANCA
Position PEDIATRICIAN
Phone (718) 205-6160
Fax (718) 205-6180
Practice Location
5314 ROOSEVELT AVE
2ND FLOOR
WOODSIDE NY, 11377-4239, US
Phone (718) 205-6160
Fax (718) 205-6180
Business Location
5314 ROOSEVELT AVE
2ND FLOOR
WOODSIDE NY, 11377-4239, US
Phone (718) 205-6160
Fax (718) 205-6180
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 242088
Remove 1114361482 NPI Number
 

According to our database, Community Pediatrician, Pllc NPI is 1114361482, taxonomy code is 208000000X and license number is 242088, license state is located at New York. Community Pediatrician, Pllc physically located at 5314 Roosevelt Ave, Woodside NY, 11377-4239. NPI Number 1033115704 has the healthcare provider type.

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1114361482 NPI number is provided on an as is basis without warranty of any kind. 1114361482 is maintained by the National Plan & Provider Enumeration System. The contents of Community Pediatrician, Pllc are for informational purposes only.