PEDIATRIC STATION PC NPI 1275704108

NPI Information

NPI: 1275704108
Provider Name: PEDIATRIC STATION PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3050 GRAND CONCOURSE
BRONX, NY
ZIP 10458
Phone: (718) 329-2275
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PEDIATRIC STATION PC is a primary care clinic center in Bronx, NY. PEDIATRIC STATION PC NPI is 1275704108. The provider is registered as an organization entity type.

The provider's business location address is:

3050 GRAND CONCOURSE
BRONX, NY
ZIP 10458-306
Phone: (718) 329-2275

The provider's authorized official is Anastassios Kyriakakos .
The authorized official title is President and has the following contact phone number (718) 329-2275.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 3/29/2016.

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
1	261QP2300X	Clinic/Center	Primary Care	F380500	NEW YORK	Yes

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

NPI Synchronization or Removal

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