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PRESTIGE PEDIATRIC CARE P.C. NPI 1043597842


NPI Information

NPI: 1043597842
Provider Name: PRESTIGE PEDIATRIC CARE P.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D2033598

Address:
14037 CHERRY AVE
APT 1A
FLUSHING, NY
ZIP 11355
Phone: (718) 445-5437
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PRESTIGE PEDIATRIC CARE P.C. is a pediatrics in Flushing, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PRESTIGE PEDIATRIC CARE P.C. NPI is 1043597842. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14037 CHERRY AVE
APT 1A
FLUSHING, NY
ZIP 11355-818
Phone: (718) 445-5437

The provider's authorized official is Yan Jin .
The authorized official title is Owner and has the following contact phone number (718) 445-5437.

The CLIA number assigned to this NPI record is 33D2033598 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2011 and was last updated on 11/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics244317NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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