BRENTWOOD PEDIATRIC & ADOLESCENT ASSOCIATES PC NPI 1578753075

NPI Information

BRENTWOOD PEDIATRIC & ADOLESCENT ASSOCIATES, PC is an adolescent medicine pediatrics in Bay Shore, 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. BRENTWOOD PEDIATRIC & ADOLESCENT ASSOCIATES, PC NPI is 1578753075. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1464 5TH AVE
BAY SHORE, NY
ZIP 11706-147
Phone: (631) 231-5070
Fax: (631) 435-3288

The provider's authorized official is Juan C Espinoza .
The authorized official title is President and has the following contact phone number (631) 231-5070.

The CLIA number assigned to this NPI record is 33D1061157 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 5/15/2015.

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:

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