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LICH FACULTY PRACTICE NPI 1982888632


NPI Information

NPI: 1982888632
Provider Name: LICH FACULTY PRACTICE
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
339 HICKS ST
BROOKLYN, NY
ZIP 11201
Phone: (718) 780-1000
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LICH FACULTY PRACTICE is a pediatrics in Brooklyn, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LICH FACULTY PRACTICE NPI is 1982888632. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

339 HICKS ST
BROOKLYN, NY
ZIP 11201-509
Phone: (718) 780-1000

The provider's authorized official is Deborah Hackett .
The authorized official title is Avp and has the following contact phone number (212) 256-3424.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 4/7/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
22080A0000XPediatricsAdolescent MedicineNo
32080P0202XPediatricsPediatric CardiologyNo
42080P0203XPediatricsPediatric Critical Care MedicineNo
52080P0205XPediatricsPediatric EndocrinologyNo
62080P0206XPediatricsPediatric GastroenterologyNo
72080P0207XPediatricsPediatric Hematology-OncologyNo
82080P0208XPediatricsPediatric Infectious DiseasesNo
92080P0214XPediatricsPediatric PulmonologyNo
10208000000XPediatricsYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WWZZT1MEDICARE PINNEW 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: 4/28/2024

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