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PREMIER PEDIATRICS NPI 1174723191


NPI Information

NPI: 1174723191
Provider Name: PREMIER PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D2028044

Address:
263 7TH AVE
SUITE 4H
BROOKLYN, NY
ZIP 11215
Phone: (718) 369-0817
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PREMIER PEDIATRICS is a pediatrics in Brooklyn, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PREMIER PEDIATRICS NPI is 1174723191. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

263 7TH AVE
SUITE 4H
BROOKLYN, NY
ZIP 11215-689
Phone: (718) 369-0817
Fax: (718) 369-1253

The provider's authorized official is Caresa Osborn .
The authorized official title is Office Manager and has the following contact phone number (718) 369-0817.

The CLIA number assigned to this NPI record is 33D2028044 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 7/18/2007.


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
1208000000XPediatricsYes

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: 11/14/2023

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