LONG ISLAND SPECIALIST PEDIATRICS PC NPI 1053517557

NPI Information

NPI: 1053517557
Provider Name: LONG ISLAND SPECIALIST PEDIATRICS PC
Classification: Medical Genetics - 207SG0201X
Entity Type: Organization

Specialization: Clinical Genetics (M.D.)

Address:
13304 41ST AVE # 1A
FLUSHING, NY
ZIP 11355
Phone: (718) 353-7265
Get Directions

LONG ISLAND SPECIALIST PEDIATRICS PC is a clinical genetics (m.d.) medical genetics in Flushing, NY. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. LONG ISLAND SPECIALIST PEDIATRICS PC NPI is 1053517557. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13304 41ST AVE # 1A
FLUSHING, NY
ZIP 11355-629
Phone: (718) 353-7265
Fax: (718) 353-7267

The provider's authorized official is Yiping Geng .
The authorized official title is President and has the following contact phone number (718) 353-7265.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 8/22/2020.

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	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)			Yes
2	208000000X	Pediatrics				X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02600186	MEDICAID	NEW 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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