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KENSINGTON PEDIATRICS PC NPI 1659346682


NPI Information

NPI: 1659346682
Provider Name: KENSINGTON PEDIATRICS, PC
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 33D0164502

Address:
3904 16TH AVE
BROOKLYN, NY
ZIP 11218
Phone: (718) 435-1449
Get Directions

KENSINGTON PEDIATRICS, PC is a legal medicine in Brooklyn, NY. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. KENSINGTON PEDIATRICS, PC NPI is 1659346682. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3904 16TH AVE
BROOKLYN, NY
ZIP 11218-500
Phone: (718) 435-1449

The provider's authorized official is Max Bulmash .
The authorized official title is Director Officer and has the following contact phone number (718) 851-8080.

The CLIA number assigned to this NPI record is 33D0164502 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 8/13/2019.


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
1173000000XLegal Medicine146343NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100787302MEDICAIDNEW YORK

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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