33D2197189 CLIA NUMBER - DR MEDNIK MEDICAL PRACTICE PC

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Laboratory Demographics

CLIA Number: 33D2197189

Facility Name: DR MEDNIK MEDICAL PRACTICE PC

Facility Address:
87-10 37TH AVENUE
JACKSON HEIGHTS, NY
ZIP 11372
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Facility Phone Number: 718 899-8700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386035400

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	33D2197189
LAB Type	Physician Office
Facility Name	DR MEDNIK MEDICAL PRACTICE PC
Street	87-10 37TH AVENUE
City	JACKSON HEIGHTS
State	NY
ZIP	11372
Phone	718 899-8700
CertificateType	4
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Waiver

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