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EXECUTIVE PEDIATRICS PC NPI 1538373279


NPI Information

NPI: 1538373279
Provider Name: EXECUTIVE PEDIATRICS PC

Former Legal Business Name: ROBERT J. BRITTIS PEDIATRICS, PC

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D0140314

Address:
984 N BROADWAY STE 506
YONKERS, NY
ZIP 10701
Phone: (914) 963-7668
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EXECUTIVE PEDIATRICS PC is a pediatrics in Yonkers, 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. EXECUTIVE PEDIATRICS PC NPI is 1538373279. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Robert J. Brittis Pediatrics, Pc.

The provider's business location address is:

984 N BROADWAY STE 506
YONKERS, NY
ZIP 10701-308
Phone: (914) 963-7668
Fax: (914) 963-7669

The provider's authorized official is Robert J. Brittis .
The authorized official title is Owner and has the following contact phone number (914) 963-7668.

The CLIA number assigned to this NPI record is 33D0140314 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 10/21/2008.


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
1208000000XPediatrics095399NEW YORKYes

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
11932263696OTHERNEW YORKNPI
2B17618MEDICARE UPINNEW YORK
31003885039OTHERNEW 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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