PM PEDIATRICS OF MAMARONECK NPI 1073645180

NPI Information

NPI: 1073645180
Provider Name: PM PEDIATRICS OF MAMARONECK

Doing Business As: PM PEDIATRICS OF MAMARONECK

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
622 EAST BOSTON POST RD
MAMARONECK, NY
ZIP 10543
Phone: (914) 777-5437
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PM PEDIATRICS OF MAMARONECK is an urgent care clinic center in Mamaroneck, NY. PM PEDIATRICS OF MAMARONECK NPI is 1073645180. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pm Pediatrics Of Mamaroneck.

The provider's business location address is:

622 EAST BOSTON POST RD
MAMARONECK, NY
ZIP 10543
Phone: (914) 777-5437
Fax: (914) 630-0907

The provider's authorized official is Marlena Simpson .
The authorized official title is Sr. Director, Cred & Enrollment and has the following contact phone number (516) 207-7851.

The CLIA number assigned to this NPI record is 33D1058934 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 10/25/2021.

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	174400000X	Specialist				No
2	261QU0200X	Clinic/Center	Urgent Care			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: 5/5/2024

NPI Synchronization or Removal

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