DR. KHALIDA ITRIYEVA M.D. NPI 1245523513

NPI Information

  • NPI: 1245523513
  • Provider Name: DR. KHALIDA ITRIYEVA, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 410 LAKEVILLE RD STE 108
    NEW HYDE PARK, NY
    ZIP 11042
  • Phone: (516) 465-3270

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NPI Details

DR. Khalida Itriyeva, M.D. is an adolescent medicine pediatrics in New Hyde Park, NY with 15 years of experience. 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. DR. Khalida Itriyeva, M.D. NPI is 1245523513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

410 LAKEVILLE RD STE 108
NEW HYDE PARK, NY
ZIP 11042
Phone: (516) 465-3270
Fax: (516) 465-5299

The NPI 1245523513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2011 and was last updated on 8/30/2018.

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
12080A0000XPediatricsAdolescent Medicine266549NEW 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: 11/21/2025

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