NPI: 1942461967
Provider Name: ILA SUKHADIA, MEDICAL, P.C.
Former Legal Business Name: JITENDRA SUKHADIA, M.D.P.C. DBA PROGRESSIVE PEDIATRICS
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization
Specialization: Medical Specialty
Address:
1235 ARDEN AVE
STATEN ISLAND, NY
ZIP 10312
Phone: (718) 948-3400
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ILA SUKHADIA, MEDICAL, P.C. is a medical specialty clinic center in Staten Island, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ILA SUKHADIA, MEDICAL, P.C. NPI is 1942461967. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Jitendra Sukhadia, M.d.p.c. Dba Progressive Pediatrics.
The provider's business location address is:
1235 ARDEN AVE
STATEN ISLAND, NY
ZIP 10312-148
Phone: (718) 948-3400
Fax: (718) 966-2560
The provider's authorized official is Ila Jitendra Sukhadia .
The authorized official title is President and has the following contact phone number (718) 948-3400.
The enumeration date for this NPI number is 6/23/2008 and was last updated on 8/6/2019.