Suffolk Pediatric Associates, P.c.

NPI 1194719484 - Pediatrics - 208000000X

NPI Details
NPI 1194719484
Enumeration Date 09/01/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name IRA P IRA
Position PRESIDENT
Phone (631) 661-2520
Fax (631) 669-6502
Practice Location
1111 MONTAUK HWY
WEST ISLIP NY, 11795-4910, US
Phone (631) 661-2520
Fax (631) 669-6502
Business Location
1111 MONTAUK HWY
WEST ISLIP NY, 11795-4910, US
Phone (631) 661-2520
Fax (631) 669-6502
Toxanomy
Taxonomy Code 208000000X
License State
License Number
Remove 1194719484 NPI Number
 

According to our database, Suffolk Pediatric Associates, P.c. NPI is 1194719484, taxonomy code is 208000000X Suffolk Pediatric Associates, P.c. physically located at 1111 Montauk Hwy, West Islip NY, 11795-4910. NPI Number 1033115704 has the healthcare provider type.

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1194719484 NPI number is provided on an as is basis without warranty of any kind. 1194719484 is maintained by the National Plan & Provider Enumeration System. The contents of Suffolk Pediatric Associates, P.c. are for informational purposes only.