DIVINO NINO PEDIATRICS NPI 1891929311

NPI Information

DIVINO NINO PEDIATRICS is an adolescent medicine pediatrics in Bronx, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DIVINO NINO PEDIATRICS NPI is 1891929311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

557 E FORDHAM RD
BRONX, NY
ZIP 10458-001
Phone: (347) 590-0660
Fax: (347) 590-0663

The provider's authorized official is Denise Nunez .
The authorized official title is President and has the following contact phone number (347) 590-0660.

The CLIA number assigned to this NPI record is 33D2002820 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/12/2009 and was last updated on 5/12/2010.

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:

Other Identifiers

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