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WANTAGH PEDIATRIC PLLC NPI 1437227865


NPI Information

NPI: 1437227865
Provider Name: WANTAGH PEDIATRIC PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D0692142

Address:
2415 JERUSALEM AVE
N BELLMORE, NY
ZIP 11714
Phone: (516) 221-5151
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WANTAGH PEDIATRIC PLLC is a pediatrics in N Bellmore, 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. WANTAGH PEDIATRIC PLLC NPI is 1437227865. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2415 JERUSALEM AVE
N BELLMORE, NY
ZIP 11714
Phone: (516) 221-5151
Fax: (516) 221-0566

The provider's authorized official is Peter Axel .
The authorized official title is President and has the following contact phone number (516) 221-5151.

The CLIA number assigned to this NPI record is 33D0692142 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

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: 5/5/2024

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