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SHERMAN PEDIATRICS CARE PLLC NPI 1578772752


NPI Information

NPI: 1578772752
Provider Name: SHERMAN PEDIATRICS CARE PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D1088034

Address:
4312 43RD ST
SUNNYSIDE, NY
ZIP 11104
Phone: (718) 355-9780
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SHERMAN PEDIATRICS CARE PLLC is a primary care clinic center in Sunnyside, NY. SHERMAN PEDIATRICS CARE PLLC NPI is 1578772752. The provider is registered as an organization entity type.

The provider's business location address is:

4312 43RD ST
SUNNYSIDE, NY
ZIP 11104-608
Phone: (718) 355-9780
Fax: (718) 355-9770

The provider's authorized official is Emilio B Villegas .
The authorized official title is Director and has the following contact phone number (718) 404-9086.

The CLIA number assigned to this NPI record is 33D1088034 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 12/11/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

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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