Pederson-krag Center Inc

NPI 1013964170 - Clinic/Center - 261QM1300X

NPI Details
NPI 1013964170
Enumeration Date 05/27/2006
Last Updated 03/03/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACQUELINE JACQUELINE
Position VP OF FINANCE FOR CLINICAL SERVICES
Phone (631) 920-8000
Fax (631) 920-8167
Practice Location
55 HORIZON DR
HUNTINGTON NY, 11743-4436, US
Phone (631) 920-8000
Fax (631) 920-8167
Business Location
142-02 20TH AVENUE
3RD FLOOR
FLUSHING NY, 11351, US
Phone (718) 559-0555
Fax (718) 445-7111
Toxanomy
Taxonomy Code 261QM1300X
License State
License Number
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According to our database, Pederson-krag Center Inc NPI is 1013964170, taxonomy code is 261QM1300X Pederson-krag Center Inc physically located at 55 Horizon Dr, Huntington NY, 11743-4436. NPI Number 1033115704 has the healthcare provider type.

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1013964170 NPI number is provided on an as is basis without warranty of any kind. 1013964170 is maintained by the National Plan & Provider Enumeration System. The contents of Pederson-krag Center Inc are for informational purposes only.