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BAY RIDGE PEDIATRICS AND ADOLESCENTS OFFICE PC NPI 1649615055


NPI Information

NPI: 1649615055
Provider Name: BAY RIDGE PEDIATRICS AND ADOLESCENTS OFFICE PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D2216301

Address:
217 73RD ST
1 ST FLOOR
BROOKLYN, NY
ZIP 11209
Phone: (718) 921-0074
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BAY RIDGE PEDIATRICS AND ADOLESCENTS OFFICE 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. BAY RIDGE PEDIATRICS AND ADOLESCENTS OFFICE PC NPI is 1649615055. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

217 73RD ST
1 ST FLOOR
BROOKLYN, NY
ZIP 11209-109
Phone: (718) 921-0074

The provider's authorized official is Abdulla Alwani .
The authorized official title is Physician and has the following contact phone number (171) 892-0074.

The CLIA number assigned to this NPI record is 33D2216301 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2013 and was last updated on 4/30/2013.


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
1208000000XPediatrics166458NEW YORKYes

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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