ALLIAD PEDIATRICS NPI 1063702710

NPI Information

NPI: 1063702710
Provider Name: ALLIAD PEDIATRICS
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
935 NORTHERN BLVD
GREAT NECK, NY
ZIP 11021
Phone: (516) 466-5437
Get Directions

ALLIAD PEDIATRICS is a medical physician assistant in Great Neck, NY. ALLIAD PEDIATRICS NPI is 1063702710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

935 NORTHERN BLVD
GREAT NECK, NY
ZIP 11021-316
Phone: (516) 466-5437

The provider's authorized official is Maryellen Cassidy .
The authorized official title is Rpac and has the following contact phone number (516) 775-4506.

The enumeration date for this NPI number is 4/14/2011 and was last updated on 4/14/2011.

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	363AM0700X	Physician Assistant	Medical	002298	NEW YORK	Yes

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	=========	OTHER	NEW YORK	PRIVATE INSURANCE

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: 5/5/2024

NPI Synchronization or Removal

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