ECKERSON PEDIATRIC ASSOCIATES PC NPI 1689856098

NPI Information

  • NPI: 1689856098
  • Provider Name: ECKERSON PEDIATRIC ASSOCIATES, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: CLARKSTOWN PEDIATRICS
  • Address: 35 SMITH ST
    NANUET, NY
    ZIP 10954
  • Phone: (845) 623-7100

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NPI Details

ECKERSON PEDIATRIC ASSOCIATES, PC is a specialist in Nanuet, 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. ECKERSON PEDIATRIC ASSOCIATES, PC NPI is 1689856098. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clarkstown Pediatrics.

The provider's business location address is:

35 SMITH ST
NANUET, NY
ZIP 10954-914
Phone: (845) 623-7100
Fax: (845) 732-8440

The provider's authorized official is Elliot J Siegal .
The authorized official title is President and has the following contact phone number (845) 352-5511.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 11/28/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100515637MEDICAIDNEW YORK

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: 11/21/2025

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