PEDIATRICS 2000AT 207 STREET PLLC NPI 1811014483

NPI Information

PEDIATRICS 2000AT 207 STREET PLLC is an adolescent medicine pediatrics in New York, 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. PEDIATRICS 2000AT 207 STREET PLLC NPI is 1811014483. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

515 W 207TH ST
NEW YORK, NY
ZIP 10034-645
Phone: (212) 544-7777
Fax: (212) 544-9660

The provider's authorized official is Juan Tapia Mendoza .
The authorized official title is Owner and has the following contact phone number (212) 544-7777.

The CLIA number assigned to this NPI record is 33D1030871 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 2/8/2008.

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:

Other Identifiers

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