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SPRINGFIELD PEDIATRIC P. C. NPI 1174610091


NPI Information

NPI: 1174610091
Provider Name: SPRINGFIELD PEDIATRIC P. C.
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
23520 147TH AVE STE 4
ROSEDALE, NY
ZIP 11422
Phone: (718) 712-2200
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SPRINGFIELD PEDIATRIC P. C. is a pediatric cardiology pediatrics in Rosedale, NY. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. SPRINGFIELD PEDIATRIC P. C. NPI is 1174610091. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23520 147TH AVE STE 4
ROSEDALE, NY
ZIP 11422-293
Phone: (718) 712-2200
Fax: (718) 712-5666

The provider's authorized official is Habib Nazarian .
The authorized official title is Officer and has the following contact phone number (718) 712-2200.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 8/19/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric Cardiology142782NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E3777MEDICARE UPINNEW YORK
200731035MEDICAIDNEW 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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