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MODERN PEDIATRICS OF GREAT NEW YORK PC NPI 1558412668


NPI Information

NPI: 1558412668
Provider Name: MODERN PEDIATRICS OF GREAT NEW YORK, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D0971702

Address:
194 OCEAN PKWY
FIRST FLOOR
BROOKLYN, NY
ZIP 11218
Phone: (718) 853-8249
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MODERN PEDIATRICS OF GREAT NEW YORK, PC 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. MODERN PEDIATRICS OF GREAT NEW YORK, PC NPI is 1558412668. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

194 OCEAN PKWY
FIRST FLOOR
BROOKLYN, NY
ZIP 11218-408
Phone: (718) 853-8249

The provider's authorized official is Harry Victor Bond .
The authorized official title is President and has the following contact phone number (718) 853-8249.

The CLIA number assigned to this NPI record is 33D0971702 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 10/30/2007.


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

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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