PM PEDIATRICS OF BAYSIDE PLLC NPI 1861700353

NPI Information

PM PEDIATRICS OF BAYSIDE, PLLC is a specialist in Bayside, 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. PM PEDIATRICS OF BAYSIDE, PLLC NPI is 1861700353. The provider is registered as an organization entity type.

The provider's business location address is:

210-31 26TH AVENUE
BAYSIDE, NY
ZIP 11360-949
Phone: (516) 677-5437

The provider's authorized official is Marlena Simpson .
The authorized official title is Director, Credentialing/enrollment and has the following contact phone number (516) 207-7851.

The CLIA number assigned to this NPI record is 33D2017647 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2010 and was last updated on 2/2/2021.

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:

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