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PM PEDIATRICS NPI 1992024665


NPI Information

NPI: 1992024665
Provider Name: PM PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2378 RALPH AVE
BROOKLYN, NY
ZIP 11234
Phone: (718) 531-6660
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PM PEDIATRICS 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. PM PEDIATRICS NPI is 1992024665. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2378 RALPH AVE
BROOKLYN, NY
ZIP 11234-515
Phone: (718) 531-6660
Fax: (718) 531-6662

The provider's authorized official is Tatyana Gabinskaya .
The authorized official title is Attending and has the following contact phone number (718) 531-6660.

The enumeration date for this NPI number is 5/20/2010 and was last updated on 5/20/2010.


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
1208000000XPediatrics203607NEW YORKYes

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
101952405MEDICAIDNEW 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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