DR. ITCHIE STATFELD MD NPI 1053345108

NPI Information

NPI: 1053345108
Provider Name: DR. ITCHIE STATFELD, MD
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

CLIA Number: 33D0912256

Address:
16 SUMNER PL
BROOKLYN, NY
ZIP 11206
Phone: (718) 782-5053
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DR. Itchie Statfeld, MD is an adolescent medicine pediatrics in Brooklyn, 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. DR. Itchie Statfeld, MD NPI is 1053345108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16 SUMNER PL
BROOKLYN, NY
ZIP 11206-110
Phone: (718) 782-5053
Fax: (718) 782-0717

The CLIA number assigned to this NPI record is 33D0912256 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 3/31/2024.

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
1	2080A0000X	Pediatrics	Adolescent Medicine	179725	NEW YORK	Yes

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

NPI Synchronization or Removal

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