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MMC PEDIATRIC CRITICAL CARE FPP NPI 1740204114


NPI Information

NPI: 1740204114
Provider Name: MMC PEDIATRIC CRITICAL CARE FPP
Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

Address:
4802 10TH AVENUE
BROOKLYN, NY
ZIP 11219
Phone: (718) 283-8854
Get Directions

MMC PEDIATRIC CRITICAL CARE FPP is a pediatric critical care medicine pediatrics in Brooklyn, NY. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. MMC PEDIATRIC CRITICAL CARE FPP NPI is 1740204114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4802 10TH AVENUE
BROOKLYN, NY
ZIP 11219
Phone: (718) 283-8854
Fax: (718) 635-6331

The provider's authorized official is Steven Shelov .
The authorized official title is Chairman, Department Of Pediatrics and has the following contact phone number (718) 283-7500.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 8/22/2020.


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
12080P0203XPediatricsPediatric Critical Care MedicineYes

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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