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WOODHLL MEDICAL GROUP NPI 1073696381


NPI Information

NPI: 1073696381
Provider Name: WOODHLL MEDICAL GROUP
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
760 BROADWAY
BROOKLYN, NY
ZIP 11206
Phone: (718) 963-7956
Get Directions

WOODHLL MEDICAL GROUP 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. WOODHLL MEDICAL GROUP NPI is 1073696381. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

760 BROADWAY
BROOKLYN, NY
ZIP 11206-317
Phone: (718) 963-7956

The provider's authorized official is Evelyn Opoku .
The authorized official title is Director Of Pediatrics and has the following contact phone number (718) 963-7956.

The enumeration date for this NPI number is 10/23/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent Medicine179427NEW YORKYes

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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