| North Baldwin Pediatrics, P.c | |
|
2010 Grand Ave North Baldwin NY 11510-2811 | |
| (516) 771-4582 | |
| (516) 771-4583 |
| Full Name | North Baldwin Pediatrics, P.c |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2010 Grand Ave, North Baldwin, New York |
| Authorized Official Name and Position | Marta Dinora Canales (PRESIDENT) |
| Authorized Official Contact | 5167714582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Baldwin Pediatrics, P.c Po Box 440 North Baldwin NY 11510-0440 Ph: (516) 771-4582 | North Baldwin Pediatrics, P.c 2010 Grand Ave North Baldwin NY 11510-2811 Ph: (516) 771-4582 |
| NPI Number | 1104817295 |
|---|---|
| Provider Enumeration Date | 10/29/2005 |
| Last Update Date | 02/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104817295 | NPI | - | NPPES |
| 2150085 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 215758 (New York) | Primary |
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