Pomona Pediatrics Pc

NPI 1033291067 - Pediatrics - 208000000X

NPI Details
NPI 1033291067
Enumeration Date 10/19/2006
Last Updated 04/25/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JESSE JESSE
Position PHYSICIAN
Phone (845) 362-0202
Fax (845) 362-1347
Practice Location
4 MEDICAL PARK DR
SUITE C
POMONA NY, 10970-3516, US
Phone (845) 362-0202
Fax (845) 362-1347
Business Location
4 MEDICAL PARK DRIVE
SUITE C
POMONA NY, 10970, US
Phone (845) 362-0202
Fax (845) 362-1347
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 145137
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According to our database, Pomona Pediatrics Pc NPI is 1033291067, taxonomy code is 208000000X and license number is 145137, license state is located at New York. Pomona Pediatrics Pc physically located at 4 Medical Park Dr, Pomona NY, 10970-3516. NPI Number 1033115704 has the healthcare provider type.

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1033291067 NPI number is provided on an as is basis without warranty of any kind. 1033291067 is maintained by the National Plan & Provider Enumeration System. The contents of Pomona Pediatrics Pc are for informational purposes only.