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SMITH HAVEN PEDIATRICS NPI 1295952448


NPI Information

NPI: 1295952448
Provider Name: SMITH HAVEN PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
269 E MAIN ST
BUILDING D
SMITHTOWN, NY
ZIP 11787
Phone: (631) 361-2121
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SMITH HAVEN PEDIATRICS is a pediatrics in Smithtown, 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. SMITH HAVEN PEDIATRICS NPI is 1295952448. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

269 E MAIN ST
BUILDING D
SMITHTOWN, NY
ZIP 11787-832
Phone: (631) 361-2121
Fax: (631) 361-2153

The provider's authorized official is Liz Sosulski .
The authorized official title is Office Coordinator and has the following contact phone number (631) 863-6321.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/22/2020.


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

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
11922084920OTHERNEW YORKNPI
21487649182OTHERNEW YORKNPI

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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