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STRONG CHILDREN WELLNESS MEDICAL GROUP PLLC NPI 1528614369


NPI Information

NPI: 1528614369
Provider Name: STRONG CHILDREN WELLNESS MEDICAL GROUP, PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D2188755

Address:
870 E 29TH ST
BROOKLYN, NY
ZIP 11210
Phone: (718) 450-9242
Get Directions

STRONG CHILDREN WELLNESS MEDICAL GROUP, PLLC is a pediatrics in Brooklyn, 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. STRONG CHILDREN WELLNESS MEDICAL GROUP, PLLC NPI is 1528614369. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

870 E 29TH ST
BROOKLYN, NY
ZIP 11210-927
Phone: (718) 450-9242

The provider's authorized official is Suzette N Brown .
The authorized official title is Chief Operating Officer and has the following contact phone number (919) 491-3448.

The CLIA number assigned to this NPI record is 33D2188755 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2019 and was last updated on 2/16/2020.


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
103524361MEDICAIDNEW YORK
203652733MEDICAIDNEW 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

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