HEALTHY CHILDREN PEDIATRIC MEDICINEP.C. NPI 1558626515

NPI Information

HEALTHY CHILDREN PEDIATRIC MEDICINE,P.C. is a specialist in Bronx, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HEALTHY CHILDREN PEDIATRIC MEDICINE,P.C. NPI is 1558626515. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1240 WALTON AVE
ST 1
BRONX, NY
ZIP 10452-050
Phone: (718) 588-0303

The provider's authorized official is Grecia A Marte .
The authorized official title is Physician and has the following contact phone number (347) 426-6906.

The CLIA number assigned to this NPI record is 33D2056339 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2012 and was last updated on 12/27/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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