| Northern Pediatric Medical Pc | |
|
21008 Northern Blvd Bayside NY 11361-3211 | |
| (718) 795-2717 | |
| (718) 795-2743 |
| Full Name | Northern Pediatric Medical Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 21008 Northern Blvd, Bayside, New York |
| Authorized Official Name and Position | Hector Bienvenido Florimon-delarosa (PRESIDENT) |
| Authorized Official Contact | 7187952717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Pediatric Medical Pc 21008 Northern Blvd Bayside NY 11361-3211 Ph: (718) 795-2717 | Northern Pediatric Medical Pc 21008 Northern Blvd Bayside NY 11361-3211 Ph: (718) 795-2717 |
| NPI Number | 1528872397 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528872397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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