RICHMOND HILL PEDIATRIC ASSOCIATES NPI 1366735862

NPI Information

NPI: 1366735862
Provider Name: RICHMOND HILL PEDIATRIC ASSOCIATES

Doing Business As: METRO MEDICAL GROUP

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
8604 117TH ST
RICHMOND HILL, NY
ZIP 11418
Phone: (718) 850-9225
Get Directions

RICHMOND HILL PEDIATRIC ASSOCIATES is an adolescent medicine pediatrics in Richmond Hill, NY. 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. RICHMOND HILL PEDIATRIC ASSOCIATES NPI is 1366735862. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Metro Medical Group.

The provider's business location address is:

8604 117TH ST
RICHMOND HILL, NY
ZIP 11418-713
Phone: (718) 850-9225
Fax: (718) 850-9226

The provider's authorized official is Nancy Eliana Wallach .
The authorized official title is President / Physician and has the following contact phone number (718) 850-9225.

The enumeration date for this NPI number is 5/17/2011 and was last updated on 5/17/2011.

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	2080A0000X	Pediatrics	Adolescent Medicine	224297	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	224297	OTHER	NEW YORK	STATE LICENSE
2	02244920	MEDICAID	NEW YORK

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

NPI Synchronization or Removal

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