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33D0670196 CLIA NUMBER - PUTNAM PEDIATRIC OF BCHP

Laboratory Demographics

CLIA Number: 33D0670196

Facility Name: PUTNAM PEDIATRIC OF BCHP

Facility Address:
667 STONELEIGH AVE - SUITE 111
CARMEL, NY
ZIP 10512
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Facility Phone Number: 845 279-9652

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1508131418

Taxonomy: 208000000X - Pediatrics
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.

CLIA Record

Field Name Field Value
CLIA Number 33D0670196
LAB Type Physician Office
Facility Name PUTNAM PEDIATRIC OF BCHP
Street 667 STONELEIGH AVE - SUITE 111
City CARMEL
State NY
ZIP 10512
Phone 845 279-9652
CertificateType 4
CertificateEffectiveDate 8/6/2019
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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This page was last updated on: 4/23/2024