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ELLINWOOD PEDIATRICS PLLC NPI 1245643501


NPI Information

NPI: 1245643501
Provider Name: ELLINWOOD PEDIATRICS PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2 ELLINWOOD DR
NEW HARTFORD, NY
ZIP 13413
Phone: (315) 507-5081
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ELLINWOOD PEDIATRICS PLLC is a pediatrics in New Hartford, 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. ELLINWOOD PEDIATRICS PLLC NPI is 1245643501. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2 ELLINWOOD DR
NEW HARTFORD, NY
ZIP 13413-102
Phone: (315) 507-5081
Fax: (315) 338-5407

The provider's authorized official is Kathy-ann Irish-benjamin .
The authorized official title is Owner and has the following contact phone number (315) 336-0759.

The enumeration date for this NPI number is 6/4/2014 and was last updated on 6/6/2014.


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
1208000000XPediatrics172945NEW 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: 5/5/2024

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